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Colorado Jeep and Off-Road Tours

ASSUMPTION OF RISK/LIABILITY RELEASE FORM
PLEASE READ CAREFULLY AND FILL OUT COMPLETELY

I am aware that by signing this document for participation in Colorado Jeep and Off-Road Tours activities I acknowledge that certain elements of this activity may be physically and emotionally demanding as well as dangerous. Furthermore, I understand that certain risks and dangers such as those listed below exist in the activity in which I am participating. I freely and willingly accept those risks and dangers individually and on behalf of my participating family members.

These risks include, but are not limited to: loss or damage to personal property; SERIOUS INJURY OR DEATH due to inclement weather, slipping, collisions, insect bites, falling objects, falls from vehicles, vehicular accidents, vehicle malfunctions, high altitude sickness, immersion in cold water, hypothermia, striking submerged or visible rocks and trees; drowning; suffering any type of accident or illness in remote areas without easy access to medical facilities; or while traveling to and from the activity site, infections, exposure to viruses or bacteria, and other illnesses.. Full prices will be charged regardless of trip outcome.

MEDICAL INFORMATION (You are not required to provide this information but the consequences of failure to do so are solely your responsibility. Information is strictly confidential.) Please identify all known allergies to food, drugs, insect bites, etc., and the nature of the reaction. Identify and describe any disabilities or conditions that might limit your participation or place you in any heightened danger from any of the risks listed above. List any medication you are currently taking and the reason for its use

I agree to exercise all necessary caution during any instruction and on any trip and to obey the safety requirements of those assisting me. I also agree to inform Colorado Jeep and Off-Road Tours, the guides and instructors of any significant aspects of my physical condition or medical history that might increase the risk to myself or others.

I understand that Colorado Jeep Tours may take promotional photos and/or videos of the jeep and participants before, during or after my tour, to be used for advertising campaigns. I agree to the use of my likeness in any/all marketing materials including, but not limited to, printed brochures, social media, tour videos, the company website, etc. I understand that I will not be paid for appearing in any such marketing materials produced by or for Colorado Jeep Tours.

I understand that I will cover any costs or other liabilities I may incur during the jeep tour adventure, and I agree to be responsible for any equipment loss or breakage due to my negligence or inattention. I understand and assume, individually and on behalf of my participating family members, all the dangers and risks associated with this activity and WAIVE ALL CLAIMS OR CAUSES OF ACTION ARISING OUT OF PARTICIPATION IN COLORADO JEEP AND OFF-ROAD TOURS’ ACTIVITIES AND IN ANY WAY ARISING OUT OF, OR IN CONNECTION WITH MY TRIP, AND RELEASE ALL PERSONS AND AGENTS FROM LIABILITY WHETHER CAUSED BY COLORADO JEEP AND OFF-ROAD TOURS’ NEGLIGENCE, NEGLIGENCE PER SE, BREACH OF CONTRACT, WARRANTY, STRICT LIABIITY OR OTHERWISE, which I may ever have against Colorado Jeep and Off-Road Tours, its successors and assigns, its officers, directors, shareholders, employee agents, subcontractors, and their heirs, executors and assigns. I agree to release the City of Cañon City, BLM and Fremont County from the above liabilities as stated herein associated with the use of City and County property during off-road related activities. Further, I agree that Colorado Jeep Tours is not liable for an incidents, injuries or deaths that may occur while on tour at booking partner locations, which includes, but is not limited to, the Royal Gorge Bridge and Park, the Winery at Holy Cross Abbey, the Royal Gorge Route Railroad, and/or Raft Masters. I also authorize the use of any photographs or video recordings taken of my participation for promotional purposes. This agreement and any claims shall be governed by Colorado law and the exclusive jurisdiction and venue for any claim shall be in the Fremont County Colorado District Court.

I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS Colorado Jeep and Off-Road Tours, its officers, officials, agents and/or employees, other participants, sponsors, advertisers, and, if applicable, owners and lessors of premises used to conduct the event (RELEASEES), from any and all claims, demands, losses, and liability arising out of or related to any INJURY, DISABILITY OR DEATH I may suffer, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

FOR PARENTS/GUARDIANS OF PARTICIPANT OF MINOR AGE (UNDER AGE 18 AT TIME OF REGISTRATION)
This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liability incidents to my minor child's involvement or participation in these programs as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES to the extent permitted by law.

DATE: April 19, 2024

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*
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*
info@coloradojeeptours.com
A signed copy of this waiver will be sent to the email address you provide.
EMERGENCY CONTACT - Important! Do NOT include a person on your tour as your 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.


By signing below the parent or court-appointed legal guardian agrees that they are also 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. 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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