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TODAY'S DATE: December 11, 2018

Registration and Acknowledgment of Risk Form Zion Guru - NamaGuides

In consideration of the services of Zion Guru(sales agent), Jonathan David Inc. dba NamaGuides (trip provider), their officers, agents, employees, and stockholders, and all other persons or entities associated with those businesses (hereinafter collectively referred to as “ZGJDI”) I agree as follows:                    

  1. Although ZGJDI has taken reasonable steps to provide me with appropriate equipment and skilled guides so I can enjoy an activity for which I may not be skilled, ZGJDI has informed me this activity is not without risk. Certain risks are inherent in each activity and cannot be eliminated without destroying the unique character of the activity. These inherent risks are some of the same elements that contribute to the unique character of this activity and can be the cause of loss or damage to my equipment, or accidental injury, illness, or in extreme cases, permanent trauma or death. ZGJDI does not want to frighten me or reduce my enthusiasm for this activity but believes it is important for me to know in advance what to expect and to be informed of the inherent risks. The following describes some, but not all, of those risks.                 
  2. I am aware that hiking, climbing, canyoneering, biking, and yoga entails risks of injury or death to any participant. I understand the description of these inherent risks is not complete and that other unknown or unanticipated inherent risks may result in injury or death. I agree to assume and accept full responsibility for the inherent risks identified herein and those inherent risks not specifically identified. My participation in this activity is purely voluntary, no one is forcing me to participate, and I elect to participate in spite of and with full knowledge of the inherent risks.
  3. I acknowledge that engaging in this activity may require a degree of skill and knowledge different than other activities and that I have responsibilities as a participant. I acknowledge that the staff of ZGJDI has been available to more fully explain to me the nature and physical demands of this activity and the inherent risks, hazards, and dangers associated with this activity.
  4. I certify that I am fully capable of participating in this activity. Therefore, I assume and accept full responsibility for myself, including all minor children in my care, custody, and control, for bodily injury, death or loss of personal property and expenses as a result of those inherent risks and dangers identified herein and those inherent risks and dangers not specifically identified, and as a result of my negligence in participating in this activity.
  5. I have carefully read, clearly understood and accepted the terms and conditions stated herein and acknowledge that this agreement shall be effective and binding upon myself, my heirs, assigns, personal representative and estate and for all members of my family, including minor children.
First Participant's Name

First Name*

Last Name*
First Participant's Date of Birth*
First Participant's Consent

* Photos, video, or media taken during this event may be used for NG-JDC advertising, product descriptions, and promotional materials. 

Please check here if you DO NOT WANT ANY MEDIA TAKEN DURING YOUR EVENT

Consent Signatures: 

By signing this document, I acknowledge that if anyone is hurt or property is damaged during my participation in this activity, I may be found by a court of law to have waived my right to maintain a lawsuit against NG-JDC on the basis of any claim from which I have released them herein. I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by its terms.*

First Participant's Signature*
Second Participant's Name

First Name*

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

* Photos, video, or media taken during this event may be used for NG-JDC advertising, product descriptions, and promotional materials. 

Please check here if you DO NOT WANT ANY MEDIA TAKEN DURING YOUR EVENT

Consent Signatures: 

By signing this document, I acknowledge that if anyone is hurt or property is damaged during my participation in this activity, I may be found by a court of law to have waived my right to maintain a lawsuit against NG-JDC on the basis of any claim from which I have released them herein. I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by its terms.*

Third Participant's Name

First Name*

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

* Photos, video, or media taken during this event may be used for NG-JDC advertising, product descriptions, and promotional materials. 

Please check here if you DO NOT WANT ANY MEDIA TAKEN DURING YOUR EVENT

Consent Signatures: 

By signing this document, I acknowledge that if anyone is hurt or property is damaged during my participation in this activity, I may be found by a court of law to have waived my right to maintain a lawsuit against NG-JDC on the basis of any claim from which I have released them herein. I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by its terms.*

Fourth Participant's Name

First Name*

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

* Photos, video, or media taken during this event may be used for NG-JDC advertising, product descriptions, and promotional materials. 

Please check here if you DO NOT WANT ANY MEDIA TAKEN DURING YOUR EVENT

Consent Signatures: 

By signing this document, I acknowledge that if anyone is hurt or property is damaged during my participation in this activity, I may be found by a court of law to have waived my right to maintain a lawsuit against NG-JDC on the basis of any claim from which I have released them herein. I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by its terms.*

Fifth Participant's Name

First Name*

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

* Photos, video, or media taken during this event may be used for NG-JDC advertising, product descriptions, and promotional materials. 

Please check here if you DO NOT WANT ANY MEDIA TAKEN DURING YOUR EVENT

Consent Signatures: 

By signing this document, I acknowledge that if anyone is hurt or property is damaged during my participation in this activity, I may be found by a court of law to have waived my right to maintain a lawsuit against NG-JDC on the basis of any claim from which I have released them herein. I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by its terms.*

Sixth Participant's Name

First Name*

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

* Photos, video, or media taken during this event may be used for NG-JDC advertising, product descriptions, and promotional materials. 

Please check here if you DO NOT WANT ANY MEDIA TAKEN DURING YOUR EVENT

Consent Signatures: 

By signing this document, I acknowledge that if anyone is hurt or property is damaged during my participation in this activity, I may be found by a court of law to have waived my right to maintain a lawsuit against NG-JDC on the basis of any claim from which I have released them herein. I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by its terms.*

Seventh Participant's Name

First Name*

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

* Photos, video, or media taken during this event may be used for NG-JDC advertising, product descriptions, and promotional materials. 

Please check here if you DO NOT WANT ANY MEDIA TAKEN DURING YOUR EVENT

Consent Signatures: 

By signing this document, I acknowledge that if anyone is hurt or property is damaged during my participation in this activity, I may be found by a court of law to have waived my right to maintain a lawsuit against NG-JDC on the basis of any claim from which I have released them herein. I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by its terms.*

Eighth Participant's Name

First Name*

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

* Photos, video, or media taken during this event may be used for NG-JDC advertising, product descriptions, and promotional materials. 

Please check here if you DO NOT WANT ANY MEDIA TAKEN DURING YOUR EVENT

Consent Signatures: 

By signing this document, I acknowledge that if anyone is hurt or property is damaged during my participation in this activity, I may be found by a court of law to have waived my right to maintain a lawsuit against NG-JDC on the basis of any claim from which I have released them herein. I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by its terms.*

Ninth Participant's Name

First Name*

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

* Photos, video, or media taken during this event may be used for NG-JDC advertising, product descriptions, and promotional materials. 

Please check here if you DO NOT WANT ANY MEDIA TAKEN DURING YOUR EVENT

Consent Signatures: 

By signing this document, I acknowledge that if anyone is hurt or property is damaged during my participation in this activity, I may be found by a court of law to have waived my right to maintain a lawsuit against NG-JDC on the basis of any claim from which I have released them herein. I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by its terms.*

Tenth Participant's Name

First Name*

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

* Photos, video, or media taken during this event may be used for NG-JDC advertising, product descriptions, and promotional materials. 

Please check here if you DO NOT WANT ANY MEDIA TAKEN DURING YOUR EVENT

Consent Signatures: 

By signing this document, I acknowledge that if anyone is hurt or property is damaged during my participation in this activity, I may be found by a court of law to have waived my right to maintain a lawsuit against NG-JDC on the basis of any claim from which I have released them herein. I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by its terms.*

Parent or Guardian's Email Address

Email*

Confirm Email*
Can we send you a link to download photos we may take on the trip?
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Telephone

Please enter your mobile number that will be with you while traveling *
In consideration of Minor being permitted by to participate in its activities and to use its equipment and facilities, I further agree to indemnify and hold harmless NG-JDC from any and all claims which are brought by, or on behalf of minor, and which are in any way connected with such use or participation of minor.
Parent or Guardian's Name

First Name*

Last Name*

Relationship*
Parent or Guardian's Date of Birth*
Parent or Guardian's Consent

* Photos, video, or media taken during this event may be used for NG-JDC advertising, product descriptions, and promotional materials. 

Please check here if you DO NOT WANT ANY MEDIA TAKEN DURING YOUR EVENT

Consent Signatures: 

By signing this document, I acknowledge that if anyone is hurt or property is damaged during my participation in this activity, I may be found by a court of law to have waived my right to maintain a lawsuit against NG-JDC on the basis of any claim from which I have released them herein. I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by its terms.*

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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