This is a copy of
the waiver we will present to you for signature upon
your arrival:
RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND
INDEMNITY AND PARENTAL CONSENT AGREEMENT
("AGREEMENT")
IN CONSIDERATION of being permitted to participate in any way in
the Majestic Waterfowl Sanctuary, Inc. activity
("Activity") I, for myself for personal representatives,
assigns, heirs, and next of kin:
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ACKNOWLEDGE, agree, and represent that I understand
the nature of Majestic Waterfowl Sanctuary, Inc.
Activities and that I am qualified, in good health,
and in proper physical condition to participate in
such Activity. I further agree and warrant that if
at any time I believe conditions to be unsafe, I
will immediately discontinue further participation
in the Activity.
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FULLY UNDERSTAND THAT: (a) MAJESTIC WATERFOWL
SANCTUARY, INC. 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" NAMED BELOW; (c) there may be
OTHER RISK 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 or that of the
minor in the Activity.
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FULLY UNDERSTAND THAT: Majestic
Waterfowl Sanctuary, Inc.,
their respective administrators, directors, agents,
officers, members, volunteers, and employees, other
participants, any sponsors, advertisers, owners and
leasers of premises on which the Activity takes
place, is not
LIABLE FOR ANY LOST, STOLEN OR DAMAGED PROPERTY OR
PERSONAL ITEMS.
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HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE
Majestic Waterfowl Sanctuary, Inc., their respective
administrators, directors, agents, officers,
members, volunteers, and employees, other
participants, any sponsors, advertisers, owners and
leasers 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 ALLEGED 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 expenses, attorney
fees, loss, liability, damage, or cost which may
incur as the 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 INDUCEMENT OR
ASSURANCE OF ANY NATURE AND INTEND IT TO 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: ______________________________________
Address:
_______________________________________(Street)
________________________________________(City)
________________________________________(State)(Zip)
________________________________________(Phone)
Participant’s Signature (only if age 18 or over):
________________________________________________
Date: ___________________________________________
MINOR RELEASE
AND I, THE MINOR’S PARENT AND/OR LEGAL GUARDIAN, UNDERSTAND THE
NATURE OF MAJESTIC WATERFOWL SANCTUARY ACTIVITIES AND
THE MINOR’S EXPERIENCE AND CAPABILITIES AND BELIEVE THE
MINOR TO BE QUALIFIED, IN GOOD HEALTH, AND IN PROPER
PHYSICAL CONDITION TO PARTICIPATE IN SUCH ACTIVITY. I
HEREBY RELEASE, DISCHARGE, COVENANT NOT TO SUE, AND
AGREE TO INDEMNIFY AND 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 IN PART BY THE
NEGLIGENCE OF THE "RELEASEES" OR OTHERWISE, INCLUDING
NEGLIGENT RESCUE OPERATION 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
RELEASEES NAMED ABOVE, I WILL INDEMNITY, SAVE, AND HOLD
HARMLESS EACH OF THE RELEASEES FROM ANY LITIGATION
EXPENSES, ATTORNEY FEES, LOSS LIABILITY, DAMAGE, OR COST
ANY MAY INCUR AS THE RESULT OF ANY SUCH CLAIM.
Printed Name of Minor:
____________________________________
Address:
Please complete only if Minor’s
address is different than the above-listed address:
_______________________________________(Street)
________________________________________(City)
________________________________________(State)(Zip)
________________________________________(Phone)
Printed Name of Parent/Guardian:
____________________________________
Signature of Parent/Guardian:______________________________________
Date: _______________________________
MAJESTIC WATERFOWL SANCTUARY REPRESENTATIVE’S SIGNATURE:
__________________________________________________
Date: _______________________________
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