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(Please List)Emergency ContactName*Phone* Release FormIn the consideration of the services of Redefining Balance, their owners, officers, volunteers and participants, employees and all other person(s) acting in any capacity their behalf (herein, collectively referred to as “RB”), I hereby agree to release, indemnify and discharge RB, on behalf of myself, my children, parents, heirs, personal representative and estate as follows: I. I acknowledge and am fully aware that my participation in acrobatics, yoga, surfing, climbing, slacklining, mountain biking, thai massage and other known activities this event entails known and unanticipated risks that could result in physical/emotional injury, death, paralysis, damage to myself, my property or a third party. I understand and am fully aware that such risks cannot be eliminated without juxtaposing the quality of the activities I choose to willingly participate in. The risks include, but, are not limited to: slips, falls, falling off equipment, rope burns, slackline burns, pinching, scrapes, twists or tweaks. Any of the above mentioned situations could result in scratches, bruises, sprains, lacerations, fractures, concussions or other forms of internal injuries to the head, neck or back. Ultimately, these unintentional accidents could result in severe injuries such as cuts, tears, muscle injury, stitches, fractures or internal injuries. The aforementioned situations or injuries could also occur due to negligence of other people / participants present, other people present or my own physical condition and limitations. Employees and volunteers of RB have strenuous jobs to perform. Their responsibility is to creating a safe environment for all willing participants; however, they are not infallible. They may not be fully aware of participant’s fitness abilities. There is always the possibility of an incorrect judgement of the weather conditions or other possible environmental conditions beyond our control. The chance of malfunctioning equipment is always a possibility that could never be predicted. 1. I hereby agree to accept and assume all risks existing at this activity/event. My participation in the activity/event is completely volunteer and I elected to participate in spite of the risks known to me. 2. I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless RDB from and all claims, demands, or causes of action, which are in any way connected with my voluntary participation in these activities or my voluntary use of RB’s equipment, including any and such claims which allege any negligent acts of RB. 3. Should RB, or any party acting on their behalf, be required by law to incur attorney’s fees/costs to reinforce this said agreement, I agree to indemnify and hold them harmless for all said fees/costs associated. 4. I agree and confirm that I have adequate insurance to cover any such injury or bodily harm/damage I may cause or suffer from while participating in my voluntary activities. Or, I agree to incur the costs of any such injury upon my own accord. I further certify that I am willing to assume the risk of any medical or physical condition I may have. By signing this document, I fully acknowledge that if anyone is hurt, or property is damaged in the duration of my voluntary participation in these activities, I may be found by the court of law to have, on my own accord, waived the right to ensue a lawsuit against RDB on the basis of any claim from which I have released them from any responsibility herein. I have read, acknowledge and agree to having read this entire release of liability waiver. I have read and agree to be bound from these terms. Signature Submit
In the consideration of the services of Redefining Balance, their owners, officers, volunteers and participants, employees and all other person(s) acting in any capacity their behalf (herein, collectively referred to as “RB”), I hereby agree to release, indemnify and discharge RB, on behalf of myself, my children, parents, heirs, personal representative and estate as follows:
I. I acknowledge and am fully aware that my participation in acrobatics, yoga, surfing, climbing, slacklining, mountain biking, thai massage and other known activities this event entails known and unanticipated risks that could result in physical/emotional injury, death, paralysis, damage to myself, my property or a third party. I understand and am fully aware that such risks cannot be eliminated without juxtaposing the quality of the activities I choose to willingly participate in.
The risks include, but, are not limited to: slips, falls, falling off equipment, rope burns, slackline burns, pinching, scrapes, twists or tweaks. Any of the above mentioned situations could result in scratches, bruises, sprains, lacerations, fractures, concussions or other forms of internal injuries to the head, neck or back. Ultimately, these unintentional accidents could result in severe injuries such as cuts, tears, muscle injury, stitches, fractures or internal injuries.
The aforementioned situations or injuries could also occur due to negligence of other people / participants present, other people present or my own physical condition and limitations. Employees and volunteers of RB have strenuous jobs to perform. Their responsibility is to creating a safe environment for all willing participants; however, they are not infallible. They may not be fully aware of participant’s fitness abilities. There is always the possibility of an incorrect judgement of the weather conditions or other possible environmental conditions beyond our control. The chance of malfunctioning equipment is always a possibility that could never be predicted.
1. I hereby agree to accept and assume all risks existing at this activity/event. My participation in the activity/event is completely volunteer and I elected to participate in spite of the risks known to me.
2. I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless RDB from and all claims, demands, or causes of action, which are in any way connected with my voluntary participation in these activities or my voluntary use of RB’s equipment, including any and such claims which allege any negligent acts of RB.
3. Should RB, or any party acting on their behalf, be required by law to incur attorney’s fees/costs to reinforce this said agreement, I agree to indemnify and hold them harmless for all said fees/costs associated.
4. I agree and confirm that I have adequate insurance to cover any such injury or bodily harm/damage I may cause or suffer from while participating in my voluntary activities. Or, I agree to incur the costs of any such injury upon my own accord. I further certify that I am willing to assume the risk of any medical or physical condition I may have.
By signing this document, I fully acknowledge that if anyone is hurt, or property is damaged in the duration of my voluntary participation in these activities, I may be found by the court of law to have, on my own accord, waived the right to ensue a lawsuit against RDB on the basis of any claim from which I have released them from any responsibility herein. I have read, acknowledge and agree to having read this entire release of liability waiver. I have read and agree to be bound from these terms.