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LIABILITY WAIVER AND HOLD HARMLESS AGREEMENT

In consideration of being permitted to participate in the Activity (as defined below) conducted by COMMON GROUND: THE CINDY NORD CENTER FOR RENEWAL (dba COMMON GROUND CANOPY TOURS) (“Common Ground”) the undersigned participant (the “Participant”) AGREES AS FOLLOWS:

1. Activities. The Participant will participate in a canopy tour operated by Common Ground (the "Activity").

2. Assumption Of Risk. I understand that the Activity entails the risk of severe bodily injury to the Participant. Injuries that could result vary, but may include (a) minor injuries such as scratches, bruises and sprains; (b) major injuries such as eye injury or loss of sight, joint or back injuries and concussions; and (c) catastrophic injuries, including paralysis and even death. These injuries may occur from the Participant’s collision with other participants, the Participant’s collision with the take-off and landing towers, the walls or other fixed objects; falling down; Participant’s equipment failure and/or the failure of other participants’ equipment; my own or other’s negligence and/or objects or conditions on the landing surface that may cause injury. Notwithstanding these risks and other risks and/or hazards not specifically identified herein, the Participant understands, acknowledges, and expressly and voluntarily assumes all risk and responsibility for any injury arising out of or related to the Activity.

3. Release, Discharge and Agreement Not To Sue. The Participant voluntarily releases, forever discharges, and agrees to indemnify and hold Common Ground harmless from any and all claims, demands, or causes of action, which are in any way connected with Participant’s participation in the Activity or Participant’s use of Common Ground’s equipment or facilities, including such Claims which allege negligent acts or omissions on behalf of Common Ground Grand and/or its employees, Directors, Officers or other agents. This release, discharge and agreement not to sue shall relate to any and all claims or legal rights now existing or arising in the future and any other breach of a legal duty arising out of common law, statute, contract or otherwise.

4. Indemnification And Hold Harmless. I agree to indemnify Common Ground and hold Common Ground harmless from, without limitation, any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorney's fees and costs, incurred due to claims brought by any third party as a result of or arising out of the Participant's involvement in the Activity, and to reimburse Common Ground for any such costs, expenses and fees as they are incurred.

5. Insurance. The Participant either a) has adequate insurance to cover any injury or damage the Participant may suffer or cause to be suffered while participating in the Activity, or b) agrees to individually pay the costs of such injury or damage. The Participant further certifies that he or she no medical or physical condition(s) or limitation(s) which could jeopardize his or her safety, or the safety of other participants, while participating in the Activity.

6. Severability. This document is intended to be as broad and inclusive as is permitted by the laws of the State of Ohio and if any provision (or a part of any provision) contained herein is deemed to be invalid, the balance of the provisions shall continue in full legal force and effect, notwithstanding such invalidity.

7. Marketing. Common Ground and persons acting through them may use, reproduce, assign, and/or distributes photographs, films, videotapes, and sound recordings of adult and youth participants.

I acknowledge that I have carefully read and understand the terms of this Liability Waiver and Hold Harmless Agreement and I am freely and voluntarily signing this document.

Today's Date: September 20, 2019

First Participant's Name

First Name*

Last Name*
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*
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.
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*
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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