Loading...

The following information will be used to complete a document that you will read and then sign. Please complete the following form to create the document. You can preview the document you will be signing

Waiver of Liability and Assumption of Risk

The individual named below (referred to as “I” or “me”) desires to participate in the Skyline Climb (the “Ropes Course”) provided by the Margaret Woodbury Strong Museum (“The Strong”). 

ASSUMPTION OF RISK: I am aware and understand that participation in the Ropes Course is dangerous and involves the risk of serious injury and/or death and/or property damage. I acknowledge that any injuries that I sustain may be compounded by difficulty in emergency response or rescue operations. Knowing the dangers, hazards, and risks of participating in the Ropes Course, and in consideration of being permitted and/or the minor(s) named below being permitted to visit The Strong, I, on my own behalf, or in my legal capacity as the parent/guardian of the minor(s) named below, hereby choose to accept these dangers, hazards, and risks for myself and/or the minor(s) in order to participate in the Ropes Course. Participation in the Ropes Course is of such value to me and/or to the minor(s) named below that I accept the risk of death, injury and/or property damage in order to participate in the Ropes Course.

WAIVER OF LAWSUIT/LIABILITY: I, on behalf of myself, my heirs, representatives, executors, administrators, and assigns, and, where applicable, in my legal capacity as the parent/guardian of the minor(s) named below, hereby forever release and waive the right to bring suit against The Strong or its owners, officers, directors, managers, officials, trustees, agents, employees, volunteers, or other representatives in connection with or attributable to my participation in the Ropes Course. I understand that this waiver means I and, where applicable, the minor[s] named below, give up the right to bring any claims, demands, or causes of action whatsoever, including but not limited to for injury, death and/or property damage, or any other loss, including but not limited to claims of negligence, and give up any claim to seek damages, whether known or unknown, foreseen or unforeseen.

CHOICE OF LAW: I understand and agree that the law of the State of New York will apply to this contract. If any term or provision of this contract shall be held illegal, unenforceable, or in conflict with any law governing this contract, the validity of the remaining portions shall not be affected thereby. Each party hereto expressly consents, with respect to any litigation arising out of or related to this contract, to the exclusive jurisdiction and venue of any court of competent jurisdiction located in Monroe County, New York, and waives the right and hereby agrees not to assert by way of motion, as a defense or otherwise in any proceeding brought in any such court, any claim that it is not subject to the jurisdiction of such court, that such proceeding is brought in an inconvenient forum or that the venue of such proceeding is improper. 

I HAVE CAREFULLY READ AND FULLY UNDERSTAND ALL PROVISIONS OF THIS WAIVER OF LIABILITY AND ASSUMPTION OF RISK, AND FREELY AND KNOWINGLY ASSUME THE RISK AND WAIVE MY RIGHTS CONCERNING LIABILITY AS DESCRIBED ABOVE:

I Agree
  

I FULLY UNDERSTAND THAT THE MAX WEIGHT CAPACITY FOR A PARTICIPANT IS LESS THAN 300 LBS AND HEIGHT IS 48" TO 6'8" FOR THE SKYLINE: HIGH RISE. HEIGHT IS UNDER 48" FOR THE SKYLINE: LOW RISE:

I Agree
 

 


First Participant's Name

First Name*

Last Name*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email
Check to receive information and museum news, by e-mail.
A signed copy of this waiver will be sent to the email address you provide.
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Date of Visit?

Enter date visiting the museum for the ropes course. Must purchase tickets for the ropes course. Due to time and capacity limits, entry is not guaranteed. *
Participant's or Parent/Guardian's Phone Number*

Cell or Mobile Number *
I am the parent or legal guardian of the minor who has signed above. I have the legal right to consent to and, by signing below, I hereby do consent to the terms and conditions of this Waiver of Liability and Assumption of Risk.


By signing below the parent or guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Relationship*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!