ADVENTURE HIGH INC.
Cycling Liability Release and Assumption of Risk Form
WARNING:
PLEASE read carefully before signing; activity waivers
have held up in Canadian courts. Consider that you are
assuming both physical and legal risks which have potential
financial implication for yourself and/or your family
should you be injured or killed while participating in
an ADVENTURE HIGH INC. activity.
I
acknowledge that I have voluntarily applied for enrollment
in the below listed ADVENTURE HIGH INC. activity, and
in consideration of being permitted to rent, do voluntarily
execute this "Liability Release and Assumption of
Risk" on behalf of myself, my heirs and next of kin,
my personal representatives and my estate.
That I hereby acknowledge that certain risks of injury
and unforeseeable environmental hazards are inherent to
bike and bike trailer rentals. These injuries could be
minor or serious and may result from one's own and/or
others actions or inaction's. By acknowledging these specific
risks I agree to personally assume such risks. I also
agree to wear a Protective Device (helmets are mandatory
in the province of New Brunswick) at all times. I also
understand and agree to test ride said bike/bike trailer
and inform ADVENTURE HIGH INC. of any problems, concerns
and/or safety issues prior to renting.
I
also acknowledge that cycling can be physically strenuous
activity and requires physical fitness and good health.
I
declare that I am in good physical and mental health.
I believe that I am able without reservation to participate
in all ADVENTURE HIGH INC. activities that I am enrolled
in. I agree to inform ADVENTURE HIGH INC. of any medical/mental
concerns applicable to my participation in any/or all
ADVENTURE HIGH INC. activities. I hereby authorize the
leader of the activity to secure such medical advice and
services as may be deemed necessary for the health and
safety of myself, my child or other in the group and I
agree to accept any financial responsibilities. Please
list any concerns medical or other wise that could affect
your participation in ADVENTURE HIGH INC. activities.
I
agree to abide by the rules and regulations imposed on
participants by ADVENTURE HIGH INC. and its staff. These
rules and regulations are designed for the safety and
protection of all participants.
I
hereby release ADVENTURE HIGH INC. its officers, employees,
servants and agents from any liability with respect to
any damage and/or injury (including death) that I may
suffer during my participation in these activities except
where the damage or injury is caused by the gross or wilful
negligence of ADVENTURE HIGH INC. its officers, employees,
servants and agents acting within the scope of their duties.
I
further state that I am of sufficient age and mental capacity
to sign this liability release, or that I have acquired
consent of my guardian.
I
further agree that the equipment that I rent will be returned
and in the same condition as rented.
My
signature below indicates that I have read and understand
the above Liability Release and Assumption of Risk Form
in its entirety and hereby consent to participate in ADVENTURE
HIGH INC. activities.
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