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Aerial Park

Release Of Liability Waiver

Please read this document carefully. It must be signed by all adult participants (eighteen years and older) in the climbing and zip line activities at Fields Of Fire Adventure Park (the Park). If the participant is a minor (younger than eighteen years of age), at least one parent or legal guardian (parent and guardian being referred to in this document as Parent) must also sign, as evidence of their agreement to these terms and conditions on their own behalf and on behalf of the minor participant. In the absence of a parent or guardian, or the verified signature of either, another adult accompanying and responsible for the minor participant on the premises of the Park must sign. IMPORTANT: This Other Responsible Adult agrees to protect the Park and others from claims of the minor child, as set forth at the Release and Indemnity and Additional Provisions sections, below.
In consideration of the services of Fields Of Fire, LLC, a Limited Liability Company organized and existing under the laws of the State of Connecticut I, an adult participant, parent of a minor participant ( for myself and on behalf of that minor participant) or other responsible adult understand, acknowledge and agree as follows:
The Park consists of more than 70 platforms installed in trees and connected by various configurations of cable, wood and rope to form bridges and zip lines over which participants will move at heights of up to 65 feet. Park activities are self-guided and require balance, agility, focus and strength in varying degrees as one moves through the course. Degrees of difficulty are indicated by a color code.
Participants share the responsibility with staff for compliance with safety procedures, including the use of a safety harness. Harnesses must not be removed or loosened for any reason and staff must be notified if a harness loosens or safety clips do not function as expected. Before engaging in the activities, participants must read and understand all instructions, posted or otherwise conveyed, receive specific training in using the harness and other safety equipment, and understand and accept the risks involved. Participants must weigh less than 275 lbs. By signing this waiver, you are stating that you weigh less than 275 lbs. Fields Of Fire LLC reserves the right to measure the physical weight of any participant and may deny or terminate participation at any time in its sole discretion.
Among the hazards and risks of the activities and use of the premises and equipment of the Park are the following: falls and abrupt and possibly harmful contact with other persons, structures and objects (fixed and moveable); carelessness and misjudgments on the part of participants and the staff of the Park, including by failing to follow proper procedures, instructions and the operating policies; the failure of structures and equipment; and the unpredictable forces of nature. Participants may experience an increased heart rate and other symptoms of anxiety and stress due to, among other things, heights, physical exertion and reliance on others. Injuries may include breaks, sprains, strains, bruises and other contusions and in extreme cases emotional upset, anxiety and even death. These risks are inherent in the activities and premises of the Park; that is, without them the experience would materially change and lose its value and appeal. The description of risks above is not complete and other unknown or unanticipated risks may be encountered.
I hereby acknowledge that these risks exist and are inherent to the activities. I expressly assume all the risks of enrollment and participation in the activities, inherent and otherwise and whether or not described above. If I am the Parent of a minor participant, or an other responsible adult, as described above, I have discussed the activities and risks with the child, who chooses to participate nevertheless, if I am an adult Participant or the Parent of a minor Participant, for myself and to the extent allowed by law, on behalf of the minor child.
I further agree to indemnify (that is, defend and protect), release and agree not to sue Fields Of Fire LLC, dba Fields Of Fire Adventure Park its owners, members, officers and staff (Released Parties) with respect to any loss or injury I, or the child, may suffer in connection with my or the childs enrollment or participation in the activities and moving about the premises on which they are conducted, including claims of negligence of a Released Party. If I am an other responsible adult, I agree to the indemnity described above, with respect to claims of the child.
I, an adult participant or parent, understand and agree that the Park does not have medical personnel or treatment available to Participant. I hereby authorize and grant permission to the Park to secure emergency medical treatment for Participant, if necessary. I represent that the participant has no medical or health condition which might cause him or her to be a danger to himself or herself, or to others. I agree to be responsible for all costs of medical care, including transportation, for myself, or the child. Participant is covered by adequate medical health insurance to provide for any medical costs that may be incurred.

First Climbers Name

First Name*

Last Name*

Phone*
First Climbers Date of Birth*
First Climbers Signature*
Second Climbers Name

First Name*

Last Name*
Second Climbers Date of Birth*
Third Climbers Name

First Name*

Last Name*
Third Climbers Date of Birth*
Fourth Climbers Name

First Name*

Last Name*
Fourth Climbers Date of Birth*
Fifth Climbers Name

First Name*

Last Name*
Fifth Climbers Date of Birth*
Sixth Climbers Name

First Name*

Last Name*
Sixth Climbers Date of Birth*
Seventh Climbers Name

First Name*

Last Name*
Seventh Climbers Date of Birth*
Eighth Climbers Name

First Name*

Last Name*
Eighth Climbers Date of Birth*
Ninth Climbers Name

First Name*

Last Name*
Ninth Climbers Date of Birth*
Tenth Climbers Name

First Name*

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

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

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.


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