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WAIVER AND RELEASE - THIS DOCUMENT AFFECTS YOUR LEGAL RIGHTS.
YOU MUST READ AND UNDERSTAND IT BEFORE INITIALING OR SIGNING IT

Today's Date: September 18, 2020

I, the named person, being above the age of 18 years, on behalf of myself and/or minors for whom I am signing (hereinafter referred to as "the participant(s)"), my heirs, assigns, personal representatives and estate and in consideration of the opportunity to participate with ZipZone Columbus, LLC in a zip line or adventure park experience, do herby acknowledge, agree, promise, and covenant with ZipZone Columbus, LLC, an Ohio limited liability company, their respective staff, members, managers, agents and employees (collectively hereinafter referred to as "ZipZone"), as follows:

REQUIRED PROTECTIVE EQUIPMENT
THE REQUIRED PROTECTIVE EQUIPMENT MUST BE WORN BY ALL PARTICIPANTS. 


ACKNOWLEDGMENT AND ACCEPTANCE OF RISKS AND RESPONSIBILITY
I understand and acknowledge that the activity the participant(s) are about to engage in voluntarily bears certain risks which could result in injury, death, illness or disease, physical or mental, or damage to persons and property. I also acknowledge and understand injuries such as scrapes, bruises or rope burn can and sometimes do occur during the activity.

Being aware that this activity entails risks of injury, I agree, covenant and promise to accept and assume all responsibility and risk for injury, death, illness or disease, or damage to the participant(s)person and property arising from participation in this activity. Participation in this activity is purely voluntary, no one is forcing participation, and the participant(s) elect to participate in spite of the risks. I agree that the participant(s) shall follow the instructions of the guide(s) and other activity leaders and that failure to do so will result in termination of the activity with no refund. I understand that ZipZone reserves the right to refuse or terminate the participation of any person it judges incapable of meeting the requirements of the activity and/or training. I understand that if I am, or suspect I may be pregnant; or if I have an extreme fear of heights or other physical or emotional limitations I will not be allowed to participate in the activity.
 

I have read this section, and initial to show that I understand and agree:

ACKNOWLEDGMENT OF EFFECT OF THIS RELEASE AGREEMENT AND RELEASE

I understand and acknowledge that by initialing and/or signing this document I have given up certain legal rights and/or possible claims which I might otherwise assert or maintain against ZipZone including specifically, but not limited to, rights arising from or claims for the acts or omissions, negligence in any degree, of ZipZone.

I hereby voluntarily release and forever discharge ZipZone from any and all liability, claims, demands, actions or rights of action, which are related to, arise out of, or are in any way connected with participation in this activity, including specifically but not limited to the negligent acts or omissions of ZipZone, for any and all injury, death, illness, or disease, and damage to persons and property. I further agree, promise and covenant to hold harmless and indemnify ZipZone for any such injury, death, illness, disease or damage.

I further agree, promise and covenant not to sue, assert or otherwise maintain or assert any claim against ZipZone for any injury, death, illness or disease, or damage to property, arising from or connected with participation in this activity.

I have read this section, and initial to show that I understand and agree:

WARRANTIES
I hereby represent and warrant that: (1) to my best knowledge, the participant is not pregnant; (2) I am at least 18 years of age; (3) The participant(s) do not have a pre-existing medical condition that could be aggravated by participating in the activity; and (4) The participant(s) do not have a debilitating fear of heights or other physical or emotional limitation which should preclude participation in the activity. (5) The participant(s) are are of the required age to participate and within the weight limit (for the zip line tour - at least 50 lbs but no more than 270 lbs and for the adventure park no more than 270 lbs.) (6) the participant(s) is (are) not under the influence of alcohol or other drugs.

I have read this section, and initial to show that I understand and agree: 

WAIVER OF LIABILITY RELATING TO CORONAVIRUS/COVID-19

The novel coronavirus, COVID-19, can cause serious and potentially life-threatening illness and even death.  It is not possible to fully prevent the presence of the disease despite precautions being taken. Therefore, if you choose to utilize ZipZone’s services and/or enter onto ZipZone premises you may be exposing yourself to and/or increasing your risk of contracting or spreading COVID-19.

ASSUMPTION OF RISK: I hereby choose to accept the risk of contracting COVID-19 for myself and/or my children in order to utilize ZipZone's services and enter ZipZone’s premises. I understand that this waiver means I give up my right to bring any claims including for personal injuries, death, disease or property losses, or any other loss, including but not limited to claims of negligence and give up any claim I may have to seek damages, whether known or unknown, foreseen or unforeseen.

I have read this section, and initial to show that I understand and agree: 

 

ENTIRE AGREEMENT
I understand that this is the entire Agreement between me and ZipZone, and that it cannot be modified or changed in any way by the representations or statements of any employee or agent of ZipZone, or by me.

My signature below indicates that I have read this entire document or had it explained to me if I do not read or speak English, and that I understand it completely and agree to be bound by its terms.

 

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information
Gender*

PHOTO AND MEDIA RELEASE
I, the undersigned, understand that any photographs, films, videotapes and sound recordings taken by ZipZone of the participant(s)can be used by ZipZone and persons or organizations acting for or through them for use in educational or promotional materials they create. By signing I grant them this right.

I have read this section, and to show that I understand and agree: 

Photo Release*
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
Gender*

PHOTO AND MEDIA RELEASE
I, the undersigned, understand that any photographs, films, videotapes and sound recordings taken by ZipZone of the participant(s)can be used by ZipZone and persons or organizations acting for or through them for use in educational or promotional materials they create. By signing I grant them this right.

I have read this section, and to show that I understand and agree: 

Photo Release*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
Gender*

PHOTO AND MEDIA RELEASE
I, the undersigned, understand that any photographs, films, videotapes and sound recordings taken by ZipZone of the participant(s)can be used by ZipZone and persons or organizations acting for or through them for use in educational or promotional materials they create. By signing I grant them this right.

I have read this section, and to show that I understand and agree: 

Photo Release*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
Gender*

PHOTO AND MEDIA RELEASE
I, the undersigned, understand that any photographs, films, videotapes and sound recordings taken by ZipZone of the participant(s)can be used by ZipZone and persons or organizations acting for or through them for use in educational or promotional materials they create. By signing I grant them this right.

I have read this section, and to show that I understand and agree: 

Photo Release*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
Gender*

PHOTO AND MEDIA RELEASE
I, the undersigned, understand that any photographs, films, videotapes and sound recordings taken by ZipZone of the participant(s)can be used by ZipZone and persons or organizations acting for or through them for use in educational or promotional materials they create. By signing I grant them this right.

I have read this section, and to show that I understand and agree: 

Photo Release*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
Gender*

PHOTO AND MEDIA RELEASE
I, the undersigned, understand that any photographs, films, videotapes and sound recordings taken by ZipZone of the participant(s)can be used by ZipZone and persons or organizations acting for or through them for use in educational or promotional materials they create. By signing I grant them this right.

I have read this section, and to show that I understand and agree: 

Photo Release*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
Gender*

PHOTO AND MEDIA RELEASE
I, the undersigned, understand that any photographs, films, videotapes and sound recordings taken by ZipZone of the participant(s)can be used by ZipZone and persons or organizations acting for or through them for use in educational or promotional materials they create. By signing I grant them this right.

I have read this section, and to show that I understand and agree: 

Photo Release*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
Gender*

PHOTO AND MEDIA RELEASE
I, the undersigned, understand that any photographs, films, videotapes and sound recordings taken by ZipZone of the participant(s)can be used by ZipZone and persons or organizations acting for or through them for use in educational or promotional materials they create. By signing I grant them this right.

I have read this section, and to show that I understand and agree: 

Photo Release*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
Gender*

PHOTO AND MEDIA RELEASE
I, the undersigned, understand that any photographs, films, videotapes and sound recordings taken by ZipZone of the participant(s)can be used by ZipZone and persons or organizations acting for or through them for use in educational or promotional materials they create. By signing I grant them this right.

I have read this section, and to show that I understand and agree: 

Photo Release*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
Gender*

PHOTO AND MEDIA RELEASE
I, the undersigned, understand that any photographs, films, videotapes and sound recordings taken by ZipZone of the participant(s)can be used by ZipZone and persons or organizations acting for or through them for use in educational or promotional materials they create. By signing I grant them this right.

I have read this section, and to show that I understand and agree: 

Photo Release*
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*
Please add us to your mailing list!
A signed copy of this waiver will be sent to the email address you provide.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
How did you hear about us?
Facebook
Instagram
I am a returning guest
Another website or blog
Newspaper/magazine/news show
Search Engine
Word of mouth
Direct mail coupon or coupon book
Don't know or someone else booked this
FOR PARTICIPANTS OF MINORITY AGE: This is to certify that I, as Parent, Guardian, Temporary Guardian with legal responsibility for this participant, do consent and agree not only to his/her release of all Releasees, but also to release and indemnify the Releasees from any and all liabilities incident to his/her involvement in these activities and programs for myself, my heirs, assigns, and next of kin.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information
Gender*

PHOTO AND MEDIA RELEASE
I, the undersigned, understand that any photographs, films, videotapes and sound recordings taken by ZipZone of the participant(s)can be used by ZipZone and persons or organizations acting for or through them for use in educational or promotional materials they create. By signing I grant them this right.

I have read this section, and to show that I understand and agree: 

Photo Release*
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.


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