Visitor'S Acknowledgement Of Risks printable pdf download

EXHIBIT 2:

Sample Acknowledgement of Risk Form

VISITOR’S ACKNOWLEDGEMENT OF RISKS

In consideration of the services of _____________________ their officers, agents, employees, and

stockholders, and all other persons or entities associated with those businesses (hereafter collectively referred to

as “______________”) I agree as follows:

Although _____________________ has taken reasonable steps to provide me with appropriate

equipment and skilled guides so I can enjoy an activity for which I may not be skilled, _____________________

has informed me this activity is not without risk. Certain risks are inherent in each activity and cannot be

eliminated without destroying the unique character of the activity. These inherent risks are some of the same

elements that contribute to the unique character of this activity and can be the cause of loss or damage to my

equipment, or accidental injury, illness, or in extreme cases, permanent trauma or death.

_____________________ does not want to frighten me or reduce my enthusiasm for this activity, but believes it is

important for me to know in advance what to expect and to be informed of the inherent risks. The following

describes some, but not all, of those risks.

[enter description of risks]

I am aware that _____________________ entails risks of injury or death to any participant. I understand

the description of these inherent risks is not complete and that other unknown or unanticipated inherent risks may

result in injury or death. I agree to assume and accept full responsibility for the inherent risks identified herein and

those inherent risks not specifically identified. My participation in this activity is purely voluntary; no one is forcing

me to participate, and I elect to participate in spite of and with full knowledge of the inherent risks.

I acknowledge that engaging in this activity may require a degree of skill and knowledge different from

other activities and that I have responsibilities as a participant. I acknowledge that the staff of

_____________________ has been available to more fully explain to me the nature and physical demands of this

activity and the inherent risks, hazards, and dangers associated with this activity.

I certify that I am fully capable of participating in this activity. Therefore, I assume and accept full

responsibility for myself, including all minor children in my care, custody, and control, for bodily injury, death, or

loss of personal property and expenses as a result of those inherent risks and dangers identified herein and those

inherent risks and dangers not specifically identified, and as a result of my negligence in participating in this

activity.

Visitor'S Acknowledgement Of Risks