Contact Form 7

devestadmin — Tue, 07 Dec 2021 09:13:30 +0000

[contact-form-7]
[mo_verify_phone]

The Waiver and Liability Release Form

devestadmin — Mon, 06 Dec 2021 04:08:19 +0000

Participant's Name *

Date of Birth (dd/mm/yyyy) *

Gender *

Male
Female

Age

Address *

Zip Code / Post Code *

Email *

Home Phone (Example: 60312345678)

Work Phone (Example: 60312345678)

Mobile Phone (Example: 601212345678) *

You may key in Guardian's / Next of Kin mobile phone for emergency contact purposes.

AGREEMENT, WAIVER AND RELEASE *

I, Participant, accept the terms as below

AGREEMENT, WAIVER AND RELEASE In consideration of being permitted by The Hooton Retreat to participate in activities at The Hooton Retreat, I hereby waive, release and discharge any and all claims for damage for personal injury, death or property damage which I may have, or which may hereafter accrue to me, as a result of participation in activities at said facilities. This release is intended to discharge in advance The Hooton Retreat, management, employees and agents from any and all liability arising out of or connected in any way with my participation in activities at this or any other The Hooton Retreat and Recreation facility even though that liability may arise out of negligence or carelessness on the part of those parties. It is understood that activities such as the ones I will be participating in involve an element of risk and danger of accidents and knowing those risks, I hereby assume those risks. It is further agreed that this waiver, release and assumption of risk is to be binding on my heirs and assigns. I agree to indemnify and to hold harmless, the Hooton Retreat, management, employees and agents from any loss, liability, damage, cost or expense which they may incur as the result of my death or any injury or property damage that I may sustain while participating in any activity at The Hooton Retreat. I understand that by participating all Participants consent to photo images taken by The Hooton Retreat's staff during this activity to be used in any or all The Hooton Retreat's publications and websites.

CONSENT OF PARENT/GUARDIAN (If Participant is a Minor)

I, Parent / Guardian, consent the terms as below

I am the parent or legal guardian of the participant listed above. I hereby consent that the participant may participate in activities at this, or any The Hooton Retreat and I hereby execute the Agreement, Waiver and Release on his/her behalf. I hereby affirmatively state that the said Participant is physically able to participate in said activity. I hereby agree to indemnify and hold the persons and entities mentioned above free and harmless from any loss, liability, damage, cost or expense that they may incur as result of the death or any injury or property damage that said participant may sustain while participating in activities at The Hooton Retreat. I HAVE CAREFULLY READ THE AGREEMENT, WAIVER AND RELEASE AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN MYSELF AND THE HOOTON RETREAR AND I SIGN IT OF MY OWN FREE WILL.

Parent / Guardian Name

Relationship

HaMiKangTao

Contact Form 7

The Waiver and Liability Release Form