
Liability
Waiver
Release of Liability,
Waiver of Claims, Assumption of Risks and Indemnity Agreement (hereinafter referred to as
the "Release Agreement")
BY SIGNING THIS DOCUMENT
YOU WILL WAIVE OR GIVE UP CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE
OR CLAIM COMPENSATION FOLLOWING AN ACCIDENT.
PLEASE READ CAREFULLY!
___________________________ Signature of Participant
NAME: ____________________
____________________ __________ Last First Middle Initial
ADDRESS:________________________________________________ Street
______________________
___________________ ______________ City Province/State
Postal/Zip Code TO: WHISKEYJACK NATURE
TOURS and its directors, officers, employees, instructors, guides,
agents, representatives, independent contractors, subcontractors, suppliers,
sponsors, successors & assigns (all of whom are hereinafter referred to as "the
Releasees").
In this Release Agreement the
term "Wilderness Activities" shall include all activities, events or
services provided, arranged, organized, sponsored or authorized by the
Releasees including, but not limited to: hiking; backpacking; wildlife
viewing; back country travel; orientational and instructional courses,
seminars and sessions; accommodation; transport to and from the trail head
or marshalling areas; and all other activities, events and services in any
way connected with or related to these activities.
ASSUMPTION OF RISKS I am aware that participation
in Wilderness Activities involves many risks, dangers and hazards including,
but not limited to: travel on extreme terrain, particularly high, exposed
ridge tops, steep pitches, or where the trail or route is less defined and
therefore rough or unstable; travel in areas where fallen timber, shrubbery,
branches, rocks, roots or other obstacles or hazards may impede or hinder
travel; travel on or through boulder fields, avalanche and landslide paths,
snow fields and glaciers; travel across or beside creeks, streams, rivers,
ponds and lakes; encounters with domestic and wild animals, sudden and
unexpected changes or variations in the hiking terrain; collisions with
motor vehicles and natural or man-made objects; miscellaneous health
problems related to over-exposure to the sun, insect bites, fatigue, stress,
dehydration, exertion, high altitude, and lack of fitness. Participants may
become lost or separated from their guide or party. Communication in the
alpine or backcountry terrain is difficult and in the event of an accident,
rescue and medical treatment may not be immediately available. Alpine and
back country weather conditions may be extreme and can change rapidly and
without warning. I am also aware that a further risk, danger and hazard of
Wilderness Activities is negligence, inattention, or inexperience of other
persons in the party and NEGLIGENCE ON THE PART OF THE RELEASEES, INCLUDING
THE FAILURE ON THE PART OF THE RELEASEES AND THE PROVINCE TO SAFEGUARD OR
PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS OF WILDERNESS ACTIVITIES
REFERRED TO ABOVE.
I AM AWARE OF THE RISKS,
DANGERS AND HAZARDS ASSOCIATED WITH WILDERNESS ACTIVITIES AND I FREELY
ACCEPT AND FULLY ASSUME ALL SUCH RISKS DANGERS AND HAZARDS AND THE
POSSIBILITY OF PERSONAL INJURY, DEATH, PROPERTY DAMAGE OR LOSS RESULTING
THEREFROM.
RELEASE OF LIABILITY,
WAIVER OR CLAIMS AND INDEMNITY AGREEMENT In consideration of the
RELEASEES agreeing to my participation in the Wilderness Activities and
permitting my use of their services, equipment and other facilities, and for
other good and valuable consideration, the receipt and sufficiency of which
is acknowledged, I hereby agree to as follows:
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TO WAIVE ANY AND ALL CLAIMS that I have or may in the future
have against the RELEASEES AND TO RELEASE THE RELEASEES from any and all
liability for any loss, damage, expense or injury, including death, that
I may suffer or that my next of kin may suffer, as a result of my
participation in the Wilderness Activities. DUE TO ANY CAUSE WHATSOEVER,
INCLUDING NEGLIGENCE, BREACH OF CONTRACT, OR BREACH OF ANY STATUTORY OR
OTHER DUTY OF CARE, INCLUDING ANY DUTY OF CARE OWED UNDER THE
OCCUPIERS LIABILITY ACT, ON THE PART OF THE RELEASEES, AND FURTHER
INCLUDING THE FAILURE ON THE PART OF THE RELEASEES TO SAFEGUARD OR
PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS OF PARTICIPATING IN THE
WILDERNESS ACTIVITIES REFERRED TO ABOVE.
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TO HOLD HARMLESS AND
INDEMNIFY THE RELEASEES for any and all liability for any property damage,
loss or personal injury to any third party resulting from my participation
in the Wilderness Activities;
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This Release Agreement shall
be effective and binding upon my heirs, next of kin, executors,
administrators, assigns and representatives, in the event of my death or
incapacity;
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This Release Agreement and
any rights, duties and obligations as between the parties to this Release
Agreements shall be governed by and interpreted solely in accordance with
the laws of the province where the Wilderness Activities take place and no
other jurisdiction; and
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Any litigation involving the
parties to the Release Agreement shall be brought solely within the province
where the Wilderness Activities take place and shall be within the exclusive
jurisdiction of the Courts of that province.
In entering into the Release
Agreement I am not relying on any oral or written representations or
statements made by the Releasees with respect to the safety of participating
in the Wilderness Activities, other than what is set forth in the Release
Agreement.
I CONFIRM THAT I HAVE READ
AND UNDERSTOOD THIS RELEASE AGREEMENT PRIOR TO SIGNING IT, AND I AM AWARE
THAT BY SIGNING THIS RELEASE AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS
WHICH I OR MY HEIRS, NEXT OF KIN, EXECUTORS, ADMINISTRATORS, ASSIGNS AND
REPRESENTATIVES MAY HAVE AGAINST THE RELEASEES.
Signed this ________ day of
_______________, 20___.
___________________________ ____________________________ Witness Signature of Participant
___________________________ ____________________________ Please print name clearly Please print name clearly
____________________________ Signature of Guardian if Participant is under age of majority
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