Liability Release Form to Participate in Our Activities - DeTourVegas Google+

Liability Release Form

                      YOUR SIGNATURE AGREES TO THE FOLLOWING:
            PLEASE READ AND SIGN TO PARTICIPATE IN THE ACTIVITIES

  1.  ASSUMPTION OF RISKS & SELF RESPONSIBILITY: I acknowledge and understand that there are risks of personal injury involved in these activities for which I have agreed to accept responsibility. Risks of injury and death are present but not limited due to wildlife and plants, equipment failure, mechanical failure, absence of protective gears, dangerous terrain, muddy and rocky ground, water, lack of experience or training, inherent dangers of the activities, criminal activity by others, negligence of the provider, or anything else that might or might not be foreseen. I am aware that driving ATVs are a dangerous activity, and I might, or my minor might injury myself with no fault to DeTourVegas. INITIALS____
  2. PLEDGE TO FOLLOW SAFETY RULES & INSTRUCTIONS: I have been briefed about the dangers and perils involved and safety precautions and rules I am to follow to minimize the chance of injury or death. I certify that I am not under the influence of alcohol of drugs. If I partake in negligent behavior I am aware that the guide may use discretion to remove me from the activity for my safety and the safety of others, without a refund of payment. I was given a copy of these rules and instructions to be followed. I agree to follow these rules. INITIALS____
  3. WAIVER & RELEASE OF RIGHTS: In consideration of being allowed to participate in any and all of these activities, I for myself, my heirs, executors, lawyers, counselors and administrators, assign and do waive, release, and discharge any and all rights, demands, or claims for damage and cause of suit or action, known or unknown by the DeTourVegas employees, owners or agents and the owners or operators of the land, water or parks due to any acts or omissions. For any or all injuries in any manner resulting from such participation I attest and verify that I have full knowledge of all risks involved in this activity and will, through my own resources, including insurance benefits, assume and pay my own medical and emergency expenses in the event of accident or illness, regardless of whether I have authorized such payments. INITIALS____
  4. AGREEMENT TO PAY FOR THE DAMAGE TO EQUIPMENT: I agree to pay for any damage to any of the vehicles or equipment caused by me or by those under my guardianship. I understand I must pay immediately after damage. INITIALS____
  5. PLEDGE TO PROTECT THE ENVIRONMENT: I agree to follow and try to enhance the mission of preserving unimpaired the natural and cultural resources and values of the national park system for the enjoyment, education, and inspiration of current and future generations. INITIALS____
  6. ANY ATV ROLL-OVER/TURN-OVER/FLIP OR SIMILAR INCIDENT WILL RESULT IN A MINIMUM CHARGE OF $75 REGARDLESS OF VISIBLE DAMAGE. INITIALS_____

PRINT Name: _______________________
Driver’s License or ID Number: _______________________
ID State or Country: _______________________
Signature: ____________________ Date: ___/___ / 2015

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