
IN CONSIDERATION of being given the opportunity to participate in any activity
with ECO-QUEST Nature Tours Inc, I, for myself, my personal representatives,
assigns, heirs, and next of kin:
1. ACKNOWLEDGE, agree and represent that I understand the nature of any activity
with ECO-QUEST Nature Tours Inc, both on water and land based, and that I
am qualified, in good health, and in proper physical condition to participate
in
such activity.
2. FULLY UNDERSTAND that: (a.); ACTIVITIES INVOLVE RISKS AND DANGERS of serious
bodily injury, including permanent disability, paralysis and death ("Risks");
(b.) these Risks and dangers may be caused by my own actions, or inactions,
the actions or inactions of others participating in the activity, the condition
in
which the activity takes place, or the negligence of the Releasees names below;
(c.); there may be other risks and social and economic losses either not known
to me or not readily foreseeable at this time; and I FULLY ACCEPT AND ASSUME
ALL SUCH RISKS AND ALL RESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES I incur
as a result of my participation in the activity.
3. AGREE AND WARRANT that I will examine and inspect each activity in which
I take part as a participant of ECO-QUEST Nature Tours Inc. and that, if I
observe
any condition which I consider to be unacceptably hazardous or dangerous, I
will notify the proper authority in charge of the activity and will refuse
to take
part in the activity until the condition has been corrected to my satisfaction.
4. HEREBY RELEASE, discharge, and covenant not to sue ECO-QUEST Nature Tours
Inc, their administrators, directors, agents, officers, volunteers and employees,
other participating organizers, any sponsors, advertisers, and if applicable,
owners and lessors of premises, on which the activity takes place, (each considered
one of the Releasees herein) from all liability, claims, demands, losses or
damages on my account caused or allege to be caused in whole or in part by
the negligence
of the Releasees or otherwise, including negligent rescue operations; and I
further agree that if, despite this release and waiver of liability, assumption
of risk,
and indemnity agreement, I, or anyone on my behalf, makes a claim against any
of the Releasees, I WILL INDEMNIFY, SAVE AND HOLD HARMLESS each of the Releasees,
from any litigation’s expenses, attorney fees, loss, liability, damage,
or any cost which may incur as a result of such claim.
I have read this agreement, fully understand its terms, understand that I have
given up substantial rights by signing it and have signed it freely and without
any inducement or assurance of any nature and intend it be a complete and unconditional
release of all liability to the greatest extent allowed by law and agree that
if any portion of this agreement is held to be invalid, the balance, notwithstanding,
shall continue in full force and effect.
Printed Name of Participant: ___________________________________________________________
Date: ________________
Address: ____________________________________________________________________________Phone:
________________
Signature (only if age 18 or over)_______________________________________________________________________________
PARENTAL CONSENT
AND I, the minor’s parent and/or legal guardian, understand the nature
of any activity with ECO-QUEST Nature Tours Inc. and the minor’s experience
and capabilities and believe the minor to be qualified to participate in such
activity. I hereby release, discharge, covenant not to sue, and AGREE TO INDEMNIFY,
SAVE AND HOLD HARMLESS each of the Releasees from all liability, claims, demands,
losses, or damages on the minor’s account caused or alleged to be caused
in whole or part by the operations, and further agree that if, despite this release,
I, the minor, or anyone on the minor’s behalf makes a claim against any
of the above Releasees, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS each of the
Releasees from any litigation expenses, attorney fees, loss liability, damage,
or any cost that may incur as the result of any such claim.
Printed Name of Parent/Guardian: _______________________________________________________Date:_________________
Address: ___________________________________________________________________________
Phone: _________________
Parent/Guardian Signature (only if participant is under the age of 18): _______________________________________________