Zip Line Participation Waiver And Release Form printable pdf download

Zip Line Participation Waiver and Release Form

This form must be signed by all participants prior to going on the Mt. Holiday Mountain, Inc Zip

Line Tour activity. If the participant is a minor, at least one parent or guardian must also sign as

evidence of their agreement to these terms and conditions on their own behalf and on behalf of

the minor.

The person who is participating in the Mt. Holiday Inc Zip Line Tour activity or any

other event or program with Mt. Holiday Mountain, Inc shall be referred to hereinafter as

“Participant”. The “Undersigned” means only the Participant when the Participant is age 18 or

older OR it means both the Participant and the Participant’s parent or legal guardian when the

Participant is under the age of 18. The Undersigned agree and understand that participating in a

Zip Line Tour activity, walking, hiking, climbing on steps and slopes, zipping, traveling to and

from the activity site (hereinafter referred to as the “Activity”) can be HAZARDOUS AND

INVOLVES THE RISK OF PHYSICAL INJURY AND/OR DEATH.

I, the undersigned participant, acknowledge that I have voluntarily applied to participate in the

ACTIVITY operated by Mt. Holiday, Inc. Zip Line Tours, which is a physically demanding and hazardous

activity. I do not have any medical condition which might create an unsafe risk to me or others who are

participating in this activity with me. I have also read and understand the participant requirements.

1. Acknowledgement of Risks:

I understand that the Activity may expose participants to certain risks which cannot be avoided. The

activity requires moderate physical exertion and is conducted at varied heights. Among the hazards and

risks of the activities and use of the premises and equipment include but not limited to the following: falls;

collisions; abrupt and possibly harmful contact with structures or objects and persons; anxieties and fears

associated with heights; close contact with other people; coordination and misjudgments on the part of

participants or negligence of guides; the failure of structures or equipment; and the unpredictable forces

of nature. Participants may experience increased heart rate and other symptoms of anxiety and stress

due to physical exertion, reliance on other participants, a fear of height, or of unprotected falling, loss of

balance, coordination and misjudgments, including failure to follow procedures and instructions, physical

or mental or psychological stress, fatigue, chill and /or dizziness which may diminish reaction time and

increase the risk of an accident. Injuries associated with participation may include breaks, sprains,

bruises, and in extreme cases, emotional upset, anxiety and even death. Participants acknowledge that

the description of risks is not complete and that other unknown or unanticipated risks may result in injury,

illness or death. Participants acknowledge that this activity is purely voluntary. I, the undersigned, choose

to participate with full knowledge of the inherent risks in such activity.

Initial here________

f Risk, Release of Liability & Indemnification Waiver.

2. Assumption of Risks:

I understand that the ACTIVITY is hazardous. I am voluntarily participating in this ACTIVITY with

knowledge of the dangers involved. I hereby accept any and all risks of injury or death to myself or any

minor children or child of which I am a parent or legal guardian, arising out of or in any way connected

with the use of the ACTIVITY, the Mt. Holiday Mountain, Inc and/or any of the affiliated organizations of

Mt. Holiday Mountain, Inc.

Initial here________

3. Release and Indemnity:

As consideration for being permitted to participate in the Activity, I hereby agree that I, my assignees,

heirs, and/or as the parent/guardian of a minor participant, will release and hold harmless and not bring

any claim or legal suit against Mt. Holiday, Inc Zip Line Tours, Mt. Holiday Mountain, Inc. its directors,

managers, officers, agents, employees and volunteers or its affiliated organizations or the supplier of any

of the equipment used in the activity (“Released Parties”), for any and all claims of injury, disability, death

or other loss or damage to person or property suffered by me or my minor children or child arising in

whole or in part from participation in this activity, both foreseeable or unforeseeable. In addition, I agree

TO INDEMNIFY (that is, defend and satisfy by payment or reimbursement, including costs and attorney’s

fees) Released Parties from any claim of loss, injury or death, brought on by myself or my children or

Zip Line Participation Waiver And Release Form

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