Do not print, please submit electronically as we do not accept paper copies.
(You can use your mouse or finger in the box above) Clear Signature
IN CONSIDERATION of being permitted to participate in any Zip Line Adventure Course activities including, but not limited to, climbing, playing, using the premises of, renting and operating equipment leased, sanctioned and/or operated by TreeHoppers, hereinafter known as TH, I acknowledge and agree that:
I fully understand and acknowledge that; (a) risks and dangers exist in my use of Zip Line Adventure Course equipment and my participation in Zip Line Adventure Course activities; (b) my participation in such activities and/or use of such equipment may result in my injury or illness including but not limited to bodily injury, disease, strains, fractures, partial and/or total paralysis, eye injury, blindness, heat stroke, heart attack, death or other ailments that could cause serious disability; (c) these risks and dangers may be caused by the negligence of the owners, employees, officers or agents of TH; the negligence of the participants, the negligence of others, accidents, breaches of contract, the forces of nature or other causes. These risks and dangers may arise from foreseeable or unforeseeable causes; and (d) by my participation in these activities and/or use of equipment, I hereby assume all risks and dangers and all responsibility for any losses and/or damages, whether caused in whole or in part by the negligence or other conduct of the owners, agents, officers, employees of TH, or by any other person.
I, on behalf of myself, my personal representatives and my heirs, hereby voluntarily agree to release, waive, discharge, hold harmless, defend and indemnify TH and it’s owners, agents, officers and employees from any and all claims, actions or losses for bodily injury, property damage, wrongful death, loss of services or otherwise which may arise out of my use of Zip Line Adventure Course equipment or my participation in Zip Line Adventure Course activities. I specifically understand that I am releasing, discharging and waiving any claims or actions that I may have presently or in the future for the negligent acts or other conduct by the owners, agents, officers or employees of TH.
If the participant is of minority age, the undersigned parent or guardian hereby gives permission for TH to authorize emergency medical treatment as may be deemed necessary for the child named below while participating in Zip Line Adventure Course activities.
I grant to TH, its representatives and employees the right to take photographs and video of me and my property in connection with the above-identified subject. I authorize TH, its assigns and transferees to use and publish the same in print and/or electronically. I agree that TH may use such photographs / videos of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and website content.
I agree that TreeHoppers and White River Zip Lines may use such photographs / videos of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.
I HAVE READ THE ABOVE WAIVER AND RELEASE AND BY SIGNING IT AGREE IT IS MY INTENTION TO EXEMPT AND RELIEVE TH FROM LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH CAUSED BY NEGLIGENCE OR ANY OTHER CAUSE.
By hitting accept, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead, which is available at our location. By hitting accept, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.
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