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WAIVER OF RESPONSIBILITY

As a non-registered guest of the Wilderness Hotel & Golf Resort, Inc. I, the undersigned, individually and on behalf of any minor child(ren) listed below, acknowledge that in consideration for being permitted to utilize facilities and attractions at the Wilderness Territory , I hereby waive  any and all rights I, or the minor child(ren) listed below, may have in the event of an injury. I, individually and on behalf of the minor child(ren) listed below, further agree to hold harmless the Wilderness Territory and any related entities, and their respective officers, directors, employees and agents (collectively, The Wilderness), for any such injury or accident.  I further agree, individually and on behalf of the below-listed child(ren), to defend and indemnify The Wilderness, for all claims brought against The Wilderness arising out of any accident, or injury (regardless of severity) or death, which arose from my use, or the below listed child(ren)’s use of any facility, attraction, Waterpark, Waterpark attraction, or premises, owned or operated by The Wilderness.

The undersigned has read the foregoing, and understands that he/she is waiving important legal rights, and that injuries can occur and are sometimes serious, and that this document, in exchange for allowing the undersigned and any children listed above to enter and use The Wilderness facilities, is waiving all rights and claims that may arise out of the use or facility, regardless of the cause of such injury.

This Release, Hold Harmless, and Indemnity Agreement is executed on behalf of the undersigned, individually, and on behalf of the child(ren) listed below.

Date: February 28, 2024

First Pass User's Name

First Name*

Last Name*

Phone*
First Pass User's Date of Birth*
First Pass User's Signature*
Second Pass User's Name

First Name*

Last Name*
Second Pass User's Date of Birth*
Third Pass User's Name

First Name*

Last Name*
Third Pass User's Date of Birth*
Fourth Pass User's Name

First Name*

Last Name*
Fourth Pass User's Date of Birth*
Fifth Pass User's Name

First Name*

Last Name*
Fifth Pass User's Date of Birth*
Sixth Pass User's Name

First Name*

Last Name*
Sixth Pass User's Date of Birth*
Seventh Pass User's Name

First Name*

Last Name*
Seventh Pass User's Date of Birth*
Eighth Pass User's Name

First Name*

Last Name*
Eighth Pass User's Date of Birth*
Ninth Pass User's Name

First Name*

Last Name*
Ninth Pass User's Date of Birth*
Tenth Pass User's Name

First Name*

Last Name*
Tenth Pass User's Date of Birth*
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*
Adult or Parent/Guardian'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. 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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