The Risks of the Activity; Such risks are, but are not limited to: cuts and stings, sunburn, hyperthermia, hypothermia, Dehydration, sea sickness, exhaustion, fear and anxiety, adverse tidal affects, adverse weather effects, adverse wildlife contact, loss of personal equipment, impact injuries, collision with other vessels, lightning strikes, near drowning, drowning and death. In many cases the presence of program staff is no guarantee of lessening of risks. Medical Disclosure (fully set out the participants medical or other conditions that may be relevant to the performance of the Activity.
ACKNOWLEDGEMENT
I acknowledge that:
a) I am the Participant
b) The activity is a recreational activity which involves a risk of physical harm
c) I may be injured in performing the Activity
d) My personal property may be lost, damaged or destroyed in performing the Activity.
e) Other people may cause me injury or may damage my property in the course of performing the Activity'
f) I may cause injury to other persons or damage their property in performing the Activity.
g) The natural conditions in which the Activity is conducted may vary without warning.
h) My participation in the activity is voluntary and l have not been required by the Business to engage in the Activity'
i) I have disclosed any pre-existing medical or other condition that may affect the risk that either I or any other person will suffer injury, loss or damage
j) The business relies on the information provided by me and I state that all such information is accurate and complete.
k) I am aware of the dangers associated with the consumption of alcohol mind altering substance, drug or other
a. substance which may impair my judgement or physical ability or capacity to safely participate in the Activity and accept full responsibility for any injury loss or damage associated with my consumption of alcohol, mind altering substance, drug or other substance which impairs my judgement, physical ability or capacity to safely participate in the Activity
l) These documents record the entire agreement between the Business and I in relation to the Activity and my participation in it.
m) I have not relied upon any advice, representations or inducements by or on behalf of the Business in deciding to participate in the Activity; and (ii) sign this document
WAIVER, RELEASE AND INDEMNITY
1. I agree to release and hold harmless the business its servants, employees and agents from and against any liability arising out of any injury, loss, damage or death caused to me or my property or any other person arising from or in connection with my participation in the Activity whether such injury, loss, damage or death was caused directly or indirectly by negligence' breach of contract or any way whatsoever other than were the injury, loss, damage or death was caused solely by the negligence of the Business, its servants, employees or agents'
2. I agree to indemnify and hold harmless the business, its servants, employees and agents from all claims, damages' losses' injuries and expenses arising out of or resulting from my participation in the Activity. This indemnification extends to all claims made by any other person against the business, its servants, employees or agents in respect of any injury, loss or damage arising out of or in connection with my participation in the Activity, other than where the injury, loss, damage or death was caused solely by the negligence of the Business its servants' employees or agents.
3. I agree to comply with all rules and directions made or given by the Business in connection with the Activity' I understand that if I fail to comply with the rules and/or direction of the Business, may be injured or injure someone else. Further I understand that I will not be permitted to continue the Activity and no refund will be given.
4. I agree to report all accidents, injuries or loss or damage sustained by me to the Business before I leave the site on which the Activity is performed.
5. I agree that if I suffer any injury or illness I agree that the Business may provide or arrange evacuation, first aid and medical treatment at my expense.
|