VIP Renewal | Parker House

Parker House VIP Card Renewal

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First Name*

Last Name*

2023 VIP Card Number*

DOB*

Phone*

Email*

Billing Address*

Street Address Address Line 2 City State ZIP Code

Ship to Address*

Same as billing

Ship to different address

Shipping Address*

Street Address Address Line 2 City State ZIP Code

Choose Payment Option*

Credit/Debit Card

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Credit Card

American Express

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Card Number

Expiration Date

Security Code Cardholder Name

Parker House will contact you to arrange payment & pickup after form submission.

2024 Parker House VIP Card

$225.00

Total

Waiver and Release / Promise Not to Sue*

I have read and agree to the terms of the Waiver and Release / Promise Not to Sue.

Avon Hotel Corporation d/b/a Parker House and Columns WAIVER AND RELEASE / (PROMISE NOT TO SUE)

As a new or re-newing Parker House VIP Cardholder, I acknowledge that I am familiar with the circa 1878 Parker House Premises and its seasonal business operations; and I understand and agree that listening to music, singing, dancing, mingling, moving about, and consuming alcohol amongst a large group of patrons in a lively and fun, classic seashore environment like that offered on Parker House Premises provides meaningful benefits to me, and may also create conditions that involve inherent risks of injury to me.

Such conditions may include: (1) patrons may spill drinks and cause floors, stairs, or other surfaces to become wet; (2) glass or drink condiments may be dropped; (3) lighting may be dim to preserve ambiance; (4) music
and patrons may be loud or distracting; (5) patrons may bump into me or impede my movement; (6) Parker House staff may direct my movement or escort me off Premises; (7) rain, condensation, or other natural elements may cause Parker House Premises to become wet; (8) access to and from Parker House Premises involves slopes, gravel, and stairs, which may be physically challenging to me.

I UNDERSTAND THAT THESE AND OTHER CONDITIONS MAY OCCUR AT ANY TIME ON PARKER HOUSE PREMISES AND MAY CAUSE ME TO SUSTAIN INJURY.

I agree that this Waiver and Release is sufficient notice and warning to me of conditions that involve inherent risk of injury. I understand these conditions may be unpredictable and may occur spontaneously at any time, that the presence of other patrons may limit my ability to see or avoid such conditions, and that my presence on
Parker House Premises may cause or contribute to such conditions. I understand that Parker House Premises includes the entire Parker House building, its porches and stairs,
driveway, sidewalks, grass and real property surrounding the building, and sections of the surrounding streets.

I acknowledge that I have considered and weighed the benefits and risks of entering Parker House Premises, and I agree that every time I enter Parker House Premises during the 2024 season, I do so voluntarily and entirely at my own risk. I acknowledge that I have carefully read this Waiver and Release and fully understand that it is a release of liability and a promise not to sue, and cannot be modified orally. In consideration for my receipt of a Parker House VIP Card for the 2024 season, I voluntarily agree to accept the terms of this Waiver and Release, and to accept all risk of injury from the conditions listed above and other reasonably foreseeable conditions that may occur on Parker House Premises; and I, on behalf of myself, my next of kin, heirs and representatives, AGREE TO RELEASE FROM ALL LIABILITY AND PROMISE NOT TO SUE Avon Hotel Corporation and its employees, officers, directors, owners and agents for any claim for any physical or psychological injury, illness, damages, or economic or emotional loss I may sustain as a result of such conditions, or from my presence on Parker House Premises.

I understand and agree that this Waiver and Release will cover the entire 2024 season and will be applicable every time I enter Parker House Premises during the 2024 season.
I understand and agree that the term of this Waiver and Release will extend beyond the 2024 season and remain in full force and effect for as long as the statute of limitations for any claim for any injury I may sustain remains open.

I understand that my Parker House VIP Card is also valid for admission to Columns in Avon, NJ, and I acknowledge that I am familiar with the Columns circa 1883 Premises and its seasonal business operations, which are substantially similar to Parker House operations. I understand and agree that my presence on Columns Premises also provides meaningful benefits to me and may create conditions that involve inherent risks of injury to me. In consideration for my admission to Columns, I agree that every time I enter Columns Premises during the 2024 season, I do so voluntarily and my own risk; and I voluntarily agree that the terms of this Waiver and Release, including the promise not to sue, will apply every time I enter Columns Premises as if the words Parker House were replaced with the word Columns.

This Waiver and Release is governed by the laws of the State of New Jersey. If any portion of this Waiver and Release is deemed by a Court of competent jurisdiction to be invalid, then the offending words will be severed and the remainder of this Waiver and Release shall remain in full force and effect.

If you have any questions regarding VIP Card renewal, payment or delivery options, Terms and Conditions, or the Waiver and Release / Promise Not to Sue, please reach out to us here.