Loading...

AERIAL REVOLUTION

CHALLENGES, INC.

dba WILD BLUE ROPES

 

VISITOR AGREEMENT

(Including Assumption of Risks and

Agreements of Release and Indemnity)

Please read this document carefully. It affects certain legal rights in the event of an injury or other loss. It must be signed by all adult (eighteen years and older) visitors to the premises of Aerial Revolution Challenges, Inc., including participants in its activities (visitors) and by a parent or legal guardian of a visitor who is a minor. The parent or guardian, referred to in this document as Parent, agrees to these provisions for himself or herself and, to the fullest extent allowed by law, on behalf of the minor visitor.

In consideration of the services of Aerial Revolution Challenges, Inc., a South Carolina corporation doing business as Wild Blue Ropes and referred to in this agreement as WILD BLUE, I, an adult visitor or Parent of a minor visitor, acknowledge and agree as follows:

Activities, Risks and Responsibilities: WILD BLUE offers a variety of activities on and associated with high and low element challenge (ropes) courses, zip lines, and simulated free-fall adventures. The activities are designed to promote self-confidence, teamwork, communication, and group process skills. The courses are a variety of structures (some over 35 feet high) over, through and along which participants may walk, swing and climb, with or without the assistance of co-participants and staff. Participants may exit the course by means of a Perfect Descent device, designed to allow a rapid descent and a controlled landing. Activities will require periods of moderate to high physical exertion, reliance on others, exposure to heights, balancing, lifting, pushing, pulling, and climbing.

Activities will be conducted outdoors. Hazards and risks of moving about the premises and participation in the activities include, among others, the following: uneven and slippery terrain and structures, falling limbs, branches and other objects, possibly harmful insects, animals and plants, and exposure to extreme or inclement weather; stumbling, falls and collisions and close contact with other persons, lanyards, belay systems, and fixed objects; fatigue, and psychological stress including the possibility of an increased heart rate and other symptoms of anxiety and stress due to physical exertion, reliance on others, and a fear of height, or of being unprotected or falling. Staff and participants, in spite of instruction and training, may act or fail to act in a reasonable manner, and equipment and structures may fail. These and other hazards and risks may result in property damage, physical and emotional injury and, in extraordinary circumstance, death. The risks described, and others, including the possibility of negligence of other visitors and staff, are inherent in the premises and activities that is, they cannot be eliminated without discouraging active participation and destroying the essential nature and the social and instructional value of the experience.

Visitor Responsibilities: I understand that, while WILD BLUE will provide organization, supervision, instruction, and equipment to assist visitors in managing the risks, inherent and otherwise, visitors have personal responsibilities for their well-being and the well-being of others while on the premises and while engaged in WILD BLUE activities. Each visitor must follow instructions, use sound personal judgment, ask for help if concerned about his or her safety and be responsible for deciding if a proposed activity is appropriate for him or her. The goals of the program being best achieved by willing and enthusiastic participants and other visitors, WILD BLUE will not knowingly force anyone to participate. Neither I nor the child has any physical, mental, or medical condition, physical or mental, that might cause me, or the child, to be a danger to ourselves or to others. I am not now, and at the time of the visit I will not be (or, if applicable, the minor child will not be), under the influence of alcohol or any medication or other chemical substance which might impair my, or the childs judgment or ability to react appropriately to external events.

Assumption of Responsibilities and Risks: I, an adult visitor, acknowledge and assume the personal responsibilities described above and all risks of visiting the WILD BLUE premises, including participating in or observing, or being in the vicinity of WILD BLUE activities, inherent and otherwise and whether or not described above. If the visitor is a minor, I, Parent, have discussed the activities and risks and personal responsibilities with him or her, the child has informed me that he or she understands them and wishes to participate nevertheless, and I consent to such participation.

Agreements of Release and Indemnity: To the fullest extent allowed by the laws of the State of South Carolina (including those which may limit the scope of the following) I, an adult visitor, or Parent of a minor visitor (for myself and on behalf of the minor), hereby release and agree not to sue and to indemnify and hold harmless Aerial Revolution Challenges, Inc., FEWG, LLC, and their respective owners, directors, officers, staff, and agents, the owner of the premises on which the WILD BLUE activities are conducted, and their respective owners, directors, officers, staff, and agents (“Released and Indemnified Parties”) from any and all liability for any loss, damage, expense or injury, including death, arising from or in any way related to my (or the minor’s) presence on premises of WILD BLUE or participation in an activity of WILD BLUE. These agreements of release and indemnity include claims arising from the negligence (but not the gross negligence or intentionally wrong conduct) of WILD BLUE or another Released and Indemnified Party.

Medical Emergency: In the event of an emergency, I give permission to WILD BLUE to provide or obtain such medical treatment as it deems appropriate. I understand that WILD BLUE will attempt to contact Parent in such event, as circumstances reasonably allow. I understand that I am responsible for all medical expenses incurred by or on behalf of me or the child.

Acknowledgement of Photo/Video Waiver: I grant permission for WILD BLUE to use any photographs and videos of me or my minor child taken during the program in newspapers, magazines, brochures, or other media for promotional or other purposes, without compensation.

If any portion of this agreement is deemed unenforceable by a court of competent jurisdiction, the reminder shall nevertheless remain in force and effect. Visitors are urged to seek the advice of legal counsel regarding the legal effect of these terms, including the release and indemnity provisions.

Any dispute between a visitor or Parent and a Released and Indemnified Party must be resolved in accordance with the laws of the State of South Carolina (not including those which invoke the laws of another jurisdiction), and a suit against a Released and Indemnified Party must be brought and maintained solely in Charleston County, South Carolina, or the county closest thereto which has a court of sufficient jurisdiction (if Charleston County does not). I agree, for myself and for the child, to the jurisdiction of that court.

 

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
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*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Visit Information:

What date are you climbing? *

What is the time of your scheduled climb? *

What is your home zip code? *
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
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. You have the right to request that you sign a paper copy instead. 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