RELEASE AND WAIVER
ZIPLINES FAMILY ADVENTURES, LLC
GATLINBURG ZIPLINES TREETOP AERIAL ADVENTURES LLC
125 Historic Nature Trail (main office); 131 Parkway (office); 222 Savage Garden (zipline course)
Gatlinburg, Tennessee 37737
CUSTOMER NAME:_________________________________________________________________________________ DATE OF BIRTH_________________________
NAME OF GUARDIAN (IF CUSTOMER IS UNDER 18_______________________________________________________________________________________________
ADDRESS:____________________________________________________________________________________________________________________________________
TELEPHONE: (________)________________________________________ WEIGHT (lbs):___________________________ ARE YOU PREGNANT?______________
DO YOU HAVE ANY MEDICAL CONDITIONS WE SHOULD BE AWARE OF (IF SO, WHAT ARE THEY?) _________________________________________________
______________________________________________________________________________________________________________________________________________
NOTICE: THIS RELEASE AND WAIVER AFFECTS YOUR LEGAL RIGHTS.
PLEASE READ IT VERY CAREFULLY AND UNDERSTAND IT BEFORE YOU SIGN.
Ziplines Family Adventures, LLC, & GATLINBURG ZIPLINES TREETOP AERIAL ADVENTURES doing business as Zip Gatlinburg and Gatlinburg Zipline Adventures, is referred to herein as “COMPANY”. In consideration of the services that Company will provide to me, I hereby promise and agree on behalf of myself (and, if I am signing this document on behalf of a person who is under the age of eighteen, on their behalf as Legal Guardian), and my heirs, assigns, personal representatives and estate (or those of the minor if I am Legal Guardian) as follows:
1. I recognize and acknowledge that there are risks inherent in any activity. The same factors that contribute to enjoying an activity may also result in damages, injury, illness or, in certain cases, serious injury or death. Having acknowledged that risks exist. I hereby specifically accept and assume all risks, including the following specific risks, that may arise by participating in the company tour or ride (the “Activity”): (a) my participation in the Activity may result in accidents, injury, serious injury and/or death; (b) such injuries or accidents may occur in remote places where there are no immediately available medical facilities; (c) during the Activity, I may experience fatigue, extreme heat, chill and/or dizziness which may diminish my reaction time and that of others and may therefore increase the risk of accident; (d) changing weather, fog, rain, sleet, snow, and/or other conditions, slippery trails and/or roads, falling rocks, and erosive cliff edges through or near which I will be walking and/or traveling, my own inability to properly participate in the Activity or to follow rules and directions concerning the Activity and unforeseeable events may all contribute to the chances of accident and/or injury. INITIAL (________)
2. I hereby confirm that I am at least eighteen years of age or my legal guardian has read this Release and has taken all responsibility for my participation in the Activity, that I am physically and mentally capable of participating in the Activity, that I will comply with all of the instructions and safety requirements for participating in the Activity, that I am capable of using the equipment provided to me by the Company, and that I am participating in the Activity voluntarily and of my own free will. I acknowledge that I will be required to listen to and follow rules and guidelines for participating in the Activity, including but not limited to the following:
4. I agree that if anything in this Release cannot be enforced, then whatever is found to be unenforceable shall be severed from the Release and the rest of the Release shall be enforced without the severed section. I intend to release Company from any liability, to the full extent allowed by law. INITIAL (________)
5. I hereby agree to assume full responsibility for myself and anyone else over whom I am legal guardian, for bodily injury, death, or damages incurred as a result of my participation in the Activity. I further agree to defend, indemnify, release, and hold harmless Ziplines Family Adventures LLC, Zip Gatlinburg, Gatlinburg Ziplines Treetop Aerial Adventures and their affiliates, agents, employees, officers, members, and owners from any liability WHATSOEVER, including injury, death, loss of property, expenses, Company’s costs of defense and Company’s attorney fees, resulting from my participation in the Activity and/or any lawsuit or litigation resulting from my participation in the Activity. INITIAL (________)
6. I hereby agree and confirm that the venue of any claim, action, or dispute arising under this agreement and Release, or as a result of my participation in the Activity, shall be Sevier County, Tennessee. INITIAL (________)
7. I further agree to allow Gatlinburg Ziplines to use any photos or videos for marketing purposes. INITIAL (________)
I READ, I UNDERSTAND, AND I ACCEPT THE TERMS AND CONDITIONS OF THIS RELEASE AND WAIVER.
Customer Signature:_____________________________________________________________________________________________________________________________
Print Name:_____________________________________________________________________________ Date:_______________________________________________
Legal Guardian Signature if Customer under 18:_______________________________________________________________________________________________________
Print Name: ____________________________________________________________________________ Date:_______________________________________________
ZIPLINES FAMILY ADVENTURES, LLC
GATLINBURG ZIPLINES TREETOP AERIAL ADVENTURES LLC
125 Historic Nature Trail (main office); 131 Parkway (office); 222 Savage Garden (zipline course)
Gatlinburg, Tennessee 37737
CUSTOMER NAME:_________________________________________________________________________________ DATE OF BIRTH_________________________
NAME OF GUARDIAN (IF CUSTOMER IS UNDER 18_______________________________________________________________________________________________
ADDRESS:____________________________________________________________________________________________________________________________________
TELEPHONE: (________)________________________________________ WEIGHT (lbs):___________________________ ARE YOU PREGNANT?______________
DO YOU HAVE ANY MEDICAL CONDITIONS WE SHOULD BE AWARE OF (IF SO, WHAT ARE THEY?) _________________________________________________
______________________________________________________________________________________________________________________________________________
NOTICE: THIS RELEASE AND WAIVER AFFECTS YOUR LEGAL RIGHTS.
PLEASE READ IT VERY CAREFULLY AND UNDERSTAND IT BEFORE YOU SIGN.
Ziplines Family Adventures, LLC, & GATLINBURG ZIPLINES TREETOP AERIAL ADVENTURES doing business as Zip Gatlinburg and Gatlinburg Zipline Adventures, is referred to herein as “COMPANY”. In consideration of the services that Company will provide to me, I hereby promise and agree on behalf of myself (and, if I am signing this document on behalf of a person who is under the age of eighteen, on their behalf as Legal Guardian), and my heirs, assigns, personal representatives and estate (or those of the minor if I am Legal Guardian) as follows:
1. I recognize and acknowledge that there are risks inherent in any activity. The same factors that contribute to enjoying an activity may also result in damages, injury, illness or, in certain cases, serious injury or death. Having acknowledged that risks exist. I hereby specifically accept and assume all risks, including the following specific risks, that may arise by participating in the company tour or ride (the “Activity”): (a) my participation in the Activity may result in accidents, injury, serious injury and/or death; (b) such injuries or accidents may occur in remote places where there are no immediately available medical facilities; (c) during the Activity, I may experience fatigue, extreme heat, chill and/or dizziness which may diminish my reaction time and that of others and may therefore increase the risk of accident; (d) changing weather, fog, rain, sleet, snow, and/or other conditions, slippery trails and/or roads, falling rocks, and erosive cliff edges through or near which I will be walking and/or traveling, my own inability to properly participate in the Activity or to follow rules and directions concerning the Activity and unforeseeable events may all contribute to the chances of accident and/or injury. INITIAL (________)
2. I hereby confirm that I am at least eighteen years of age or my legal guardian has read this Release and has taken all responsibility for my participation in the Activity, that I am physically and mentally capable of participating in the Activity, that I will comply with all of the instructions and safety requirements for participating in the Activity, that I am capable of using the equipment provided to me by the Company, and that I am participating in the Activity voluntarily and of my own free will. I acknowledge that I will be required to listen to and follow rules and guidelines for participating in the Activity, including but not limited to the following:
- I will abide by all instructions provided to me by the Company, and the Company’s designated guides on ropes course or ziplines.
- I will not make any adjustments to my equipment and I agree that all adjustments will be made only by or with the assistance of a Company tour guide, and I will notify a guide of any concerns about fit or adjustment of equipment.
- I will not intentionally jump off, flip myself over or invert myself while on the zipline or Activity.
- I will hold on with at least one hand at all times while zipping or involved in the Activity. INITIAL (________)
4. I agree that if anything in this Release cannot be enforced, then whatever is found to be unenforceable shall be severed from the Release and the rest of the Release shall be enforced without the severed section. I intend to release Company from any liability, to the full extent allowed by law. INITIAL (________)
5. I hereby agree to assume full responsibility for myself and anyone else over whom I am legal guardian, for bodily injury, death, or damages incurred as a result of my participation in the Activity. I further agree to defend, indemnify, release, and hold harmless Ziplines Family Adventures LLC, Zip Gatlinburg, Gatlinburg Ziplines Treetop Aerial Adventures and their affiliates, agents, employees, officers, members, and owners from any liability WHATSOEVER, including injury, death, loss of property, expenses, Company’s costs of defense and Company’s attorney fees, resulting from my participation in the Activity and/or any lawsuit or litigation resulting from my participation in the Activity. INITIAL (________)
6. I hereby agree and confirm that the venue of any claim, action, or dispute arising under this agreement and Release, or as a result of my participation in the Activity, shall be Sevier County, Tennessee. INITIAL (________)
7. I further agree to allow Gatlinburg Ziplines to use any photos or videos for marketing purposes. INITIAL (________)
I READ, I UNDERSTAND, AND I ACCEPT THE TERMS AND CONDITIONS OF THIS RELEASE AND WAIVER.
Customer Signature:_____________________________________________________________________________________________________________________________
Print Name:_____________________________________________________________________________ Date:_______________________________________________
Legal Guardian Signature if Customer under 18:_______________________________________________________________________________________________________
Print Name: ____________________________________________________________________________ Date:_______________________________________________
