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Treehouse World, Inc.

PARTICIPANT’S ACKNOWLEDGMENT OF RISK, ACCEPTANCE OF RESPONSIBILITY, AND WAIVER AND RELEASE FROM LIABILITY

Aerial Adventure Park, High & Low Ropes Challenge Course, Tree Houses, Zip Lines Tree Climbing Activities, Experiential Learning Programs, Archery Tag

INTRODUCTION
Please read this entire Acknowledgment of Risk, Acceptance of Responsibility, and Waiver & Release from Liability (hereafter ‘Document’) carefully before signing. All participants must sign this Document. For participants under 18 yrs. of age (hereafter sometimes 'minor' or 'child'), a Parent or Legal Guardian (hereafter jointly ‘parent’) must also sign. In consideration of the services of Treehouse World, Inc. and its agents, owners, officers, directors, employees, representatives, independent contractors, volunteers and all other persons or entities associated with it (collectively referred to in this Document as ‘Treehouse World, Inc'), I (participant and parent of a minor participant) acknowledge and agree as follows:

ACKNOWLEDGMENT & ASSUMPTION OF RISKS
Treehouse World, Inc. instructional, educational, amusement, experiential and/or adventure activities, including but not limited to those, or other training or services performed by Treehouse World, Inc., may take place in various locations in and around Pennsylvania, Delaware, New Jersey and Maryland. Activities (which may be scheduled or unscheduled, mandatory or optional and supervised or unsupervised and include free time) may include, but are not limited to high and low element challenge, climbing wall, tree climbing and ropes course activities and leadership or teambuilding games and initiatives, tree houses, parties and events, (referred to in this Document as ‘activities’). I acknowledge that the inherent and other risks, hazards and dangers (referred to in this Document as 'risks') associated with these activities can cause or lead to injury, damage, death or other loss to participant or others. Parent/Parents give permission for their child to participate in all activities and agree to discuss the nature of these activities and risks with their child. The following includes some, but not all of these risks:
Risks involved in any physical activity. Treehouse World, Inc. activities can take place both indoors and outdoors and may include but not be limited to walking, running, climbing, lifting, belaying and rappelling, swinging on ropes, and trust falls.
Risks included in an outdoor environment. These risks include travel to and at program areas, hilly and uneven terrain, both on and off trail. Participants’ may be subject to wind, thunder, lightning, rain, snow or other adverse weather conditions; stinging, venomous and/or disease carrying animals or insects; poisonous plants; wild animals and other natural or man-made hazards. Hazards may not be marked and weather is always unpredictable.
Risks included in ropes and challenge course activities aerial adventure park activities, tree houses, zip lines, tree climbing activities and experiential education activities. Treehouse World, Inc. participants may engage in activities involving the use of challenge course or ropes course equipment. This can include, but may not be limited to use of indoor or outdoor climbing walls, high and low element ropes courses, tree climbing apparatus, swings, ropes, and associated technical equipment such as harnesses and helmets. The risks of using this equipment include slipping, falling, rope burns, pinches, twists, jolts and splinters.
Risks in decision making, including, without limitation, the risk that a Treehouse World, Inc. instructor or other staff member, representative, volunteer (including consulting physicians) co-participant or contractor may misjudge a participant’s capabilities, health or physical condition, or misjudge some aspect of instruction or medical treatment.
Personal health and participation risks. The risk that participant’s mental, physical or emotional condition (known or unknown, disclosed or undisclosed) combined with participation in these activities could result in injury, damage, death or other loss. Although Treehouse World, Inc. personnel may review participant's health information, Treehouse World, Inc. cannot anticipate or eliminate risks or complications posed by participant’s mental, physical or emotional condition.
The risk that equipment used in any activity may be misused, or may break, fail or malfunction. Treehouse World, Inc. requires use of helmets or other safety gear for most of the activities. Safety gear may prevent or lessen injuries in some instances; however, use of safety gear is not a guarantee of safety, and injury can occur even with the use of this gear.
Risks regarding conduct, including the potential that the participant, or other participants or third parties (e.g., general public, rescue squad, medical facility) may act carelessly or recklessly.
Risks regarding free time. Participants may have free time before and after the start of the program and at various other times while they are with Treehouse World, Inc. During both supervised and unsupervised activities, all participants share in the responsibility for their own safety.
Other risks that are generally associated with instructional, educational, amusement and/or adventure activities.
These and other risks may result in participants: falling partway or falling to the ground; being struck; colliding with objects or people; reacting to weather conditions or increased exertion; suffering gastro-intestinal complications or allergic reactions; or experiencing other problems. These and other circumstances may cause heart or lung complications, concussions, paralysis or other disability, dehydration, broken bones, wounds, sunburn, illness, mental or emotional trauma, or other injury, damage, death or loss.

I (participant and parent/parents of a minor participant) agree:

  • that a 'Challenge by Choice' atmosphere exists at all times; that participant should not feel pressured to participate; and that participant is entitled to make his or her own decisions about participation in any or all activities, and will not be forced to participate;
  • to review all Treehouse World, Inc. program information and materials received, accurately complete all required forms and agree to abide by the terms of those documents; • Treehouse World, Inc. representatives are, and have been available should I have further questions about these activities or the associated risks;
  • if participant has any mental, physical or emotional condition/s or limitations which might affect his/her ability to participate, I will disclose those to Treehouse World, Inc., and represent that participant is fully capable of participating without causing harm to him or herself or others;
  • Treehouse World, Inc. cannot assure participant’s safety or eliminate any of these risks, and Treehouse World, Inc. does not assure that participant’s training, certification or other activities engaged in will cause participant to exhibit any particular level of skill or competence following participation and completion.

Participant is voluntarily participating with knowledge of the risks. Therefore, participant (and parent of minors) assume and accept full responsibility for the inherent and other risks (both known and unknown) of these activities, and for any injury, damage, death or other loss suffered by participant (and parent/parents of minors), resulting from those risks and/ or resulting from participant’s negligence or other misconduct. RELEASE AND INDEMNITY AGREEMENT
Please read carefully. This Release and Indemnity Agreement contains a surrender of certain legal rights. I (adult participant, or parent/parents for themselves and for and on behalf of their participating minor child) agree as follows:
(1) to release and agree not to sue Treehouse World, Inc., with respect to any and all claims, liabilities, suits or expenses (including attorneys’ fees and costs) (hereafter collectively ‘claim’ or ‘claim/s’) for any injury, damage, death or other loss in any way connected with my or my child's enrollment or participation in these activities, or use of any equipment, facilities or premises. I understand that in signing this Document, I, my child, and anyone acting on my or my child's behalf, surrender our respective rights to make a claim against Treehouse World, Inc., as a result of any injury, damage, death or other loss suffered by me or my child;
(2) to defend and indemnify (‘indemnify’ meaning protect by reimbursement or payment) Treehouse World, Inc. with respect to any and all claim/claims brought by or on behalf of me, a family member, a co-participant, or any other person including specifically a minor or otherwise dependent child or family member for whom I act as parent/guardian or person authorizing such person’s participation in signing this agreement, for any injury, damage, death or other loss in any way connected with my or my child’s enrollment or participation in these activities or use of any equipment, facilities or premises.
This Release and Indemnity Agreement includes claim/s resulting from Treehouse World, Inc.’s negligence (but not its gross negligence or willful, wanton or criminal misconduct), and includes claim/s for personal injury or wrongful death (including claim/s related to emergency or medical response, assessment or treatment), property damage, breach of contract or any other claim.
OTHER PROVISIONS
I (participant and parent/parents of a minor participant) agree that Pennsylvania law (without regard to its ‘conflict of laws’ rules) governs this Document, any dispute I have with Treehouse World, Inc. and all other aspects of my relationship with Treehouse World, Inc., and that any mediation, suit, or other proceeding must be filed or entered into only in Chester County, Pennsylvania. I agree to attempt to settle any dispute (that cannot be settled by discussion) through mediation before a mutually acceptable Pennsylvania mediator. I authorize Treehouse World, Inc. staff, contractors or other medical personnel to obtain or provide medical care for me/my child, to transport me/my child to a medical facility, and/or to provide treatment they consider necessary for my/my child's health. I agree to pay all costs associated with that care and transportation. I agree to the release (to or by Treehouse World, Inc.) of any medical records necessary for treatment, referral, billing or insurance purposes. I understand that Treehouse World, Inc. reserves the right, in its discretion, to limit participation or remove any participant from the program or activities when staff or instructors believe, in their discretion, participant presents a safety concern or medical risk, or acts in any manner detrimental to the program or activities. I hereby grant permission to the Operator to use any photographs or video taken of the minor visitor or me during the AERIAL ADVENTURE COURSE for any promotional purpose, without compensation. This Document is intended to be interpreted and enforced to the fullest extent allowed by law. If any portion of this Document is deemed unlawful or unenforceable it shall not affect the enforceability of the remaining provisions, and those remaining provisions shall continue in full force and effect.
Participant and parent of a minor participant agree: I have carefully read, understand and voluntarily sign this Document and acknowledge that it shall be effective and binding upon me, my participating child, dependent, spouse and other family members, and my heirs, executors, subrogors, representatives and estate.A parent must sign if the participant is a minor/dependent (minors are those under 18 yrs. of age)!

Date: April 21, 2019

First Participant's Name

First Name*

Last Name*
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*
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*

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