Mountains

ZIPLINE WAIVER

*Denotes Required Field * Title

Zipline Waiver

Eagle Bay Camp Zip line Activity Release of Liability, Waiver of Claims, Assumptions of Risks And Indemnity Agreement This is a Legal Document – Read Carefully Between Eagle Bay Camp and:

Participant (or guardian if under 18)

* Name Of Player

* Phone Number ( ) -

* Mailing Address City

* Postal Code

* Participant (or guardian if under 18)

* Province

I certify that I have read the terms and conditions set forth on this agreement and liability release in its entirety, and that I have executed the same of my own free will without any duress whatsoever, realizing that it is a legally binding agreement.

* Signature of Player

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* Date Signed

Consent of Parent or Guardian (required for Participant UNDER 18 years of age) In consideration of the facilities provided by Eagle Bay Camp to the above player,

I, ENTER NAME BELOW Parent and/or Guardian of the Player, minor, do hereby agree both on behalf of myself and said Player and his/her and my heirs, assigns and legal representatives, to all of the terms and conditions set forth in the above agreement. I have read and understand the agreement. I understand that by making this agreement I surrender valuable rights. I do so freely and voluntarily.

Parent/Guardian Name

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Parent/Guardian Signature

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Date Signed

* Phone Number ( ) -

Initial after reading

I hereby Certify:

* I am at least 18 years of age and in good mental and physical health and if I am under the age of 18, I will have a parent�s or guardian�s signature giving permission to participate in the game and agreement to this waiver

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IN RETURN FOR THE USE OF THE FACILITIES AND/OR ANY OTHER CONSIDERATION, I STATE AND AGREE THAT:

* am aware that I am participating in an activity (hereinafter referred to as the �Zip line�) which can be physically and mentally strenuous involving possible risk.

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* I hereby undertake and assume total responsibility for any risk or injury resulting in the participation of a Zip line.

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* I undertake to Zip line only in accordance with the safety instructions, rules and guidelines communicated to me by the Eagle Bay Camp Staff.

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* I am aware that Eagle Bay Camp staff check the conditions or safety of equipment regularly and is in compliance with all safety standards set out for running a Zip Line course.

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* I hereby for myself, heirs, executors, administrators, successors and assignees, release, remise and forever discharge from any claims and liabilities whatsoever without limitations that I might have against Eagle Bay Camp and the owners of the property upon which the activity of Zip line is played from and against all liability, actions, claims, costs, (including legal costs), damages, and suits, arising out of, connected with, or resulting from my participation in a Zip Line without limitation, those resulting from the manufacture, selection, delivery, possession, use, or operation of such equipment. I hereby certify to Eagle Bay Camp and the Property Owners that I am in good health and do not suffer from a heart condition or other ailment that could be aggravated by the exertion involved in my participation.

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* I acknowledge that the foregoing release is intended to be as broad and inclusive as is permitted by the law of the Province of British Columbia, and that if any portion thereof is held to be invalid, the balance shall, nevertheless, continue in full legal force and effect.

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* I understand and accept the responsibility for all equipment supplied to me by Eagle Bay Camp. If I damage or lose any portion of this equipment, I agree to pay all costs related to the replacement or repair of the damaged item(s).

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* I further declare that this document has been drawn up in the English language at my request.

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* his agreement shall be binding upon me, as well as my heirs, executors, administrators and assigns.

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Seasonal Consent: at the option of the Parent/Guardian I agree to the waiver/consent form being in force for the current calendar year and DO NOT REQUIRE ADDITIONAL CONSENT/WAIVER FORMS for each date the player wishes to participate in the activity of Zip Line.

* Signature of Parent/Guardian

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* Date Signed