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TERMS AND CONDITIONS AGREEMENT

HOOPLA ISLAND Customer Waiver, Release of Liability, Indemnity and Assumption of Risk Agreement

ASSUMPTION OF RISKS:

I acknowledge that my participation in the activities provided by Twenty-One Ventures Inc, doing business as HOOPLA ISLAND at Norman Park (35 Minnesota St, Kenora ON, P9N 3W5) entails known and unknown risks that could result in physical or emotional injury, paralysis, death, or damage to myself, to property or to third parties. I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity. The risks include, among other things and without limitation: exposure of participants to the risk of slips, falls, cuts and bruises, any bodily injuries including head, back, arm and shoulder injuries, entrapment by equipment or other patrons, forces of nature including extremes of weather, lightning, and rapid weather changes, exposure to sun, heat stroke, strong wind, cold weather, large waves, eddies and whirlpools, tidal conditions, surf and currents, the risk of collision with objects or other watercraft, insect bites, my own physical condition, accidental drowning and the physical exertion associated with these activities.

I agree and promise to accept and assume all of the risks existing with this activity. My participation in the activity is purely voluntary and I elect to participate in spite of the listed risks. Additionally, I agree to wear an approved personal flotation device throughout the participation of this event. I hereby voluntarily release, forever discharge and agree to indemnify and hold harmless HOOPLA ISLAND, from any and all claims, demands, or causes of action which are in any way connected with my participation in this activity or my use of HOOPLA ISLAND’s equipment, or facilities, including any such claims which includes negligent acts or omission of HOOPLA ISLAND.

In consideration of being permitted by Twenty-One Ventures Inc, doing business as “HOOPLA ISLAND”, to participate in its activities and to use its equipment, now and in the future, I hereby agree to release, indemnify and foreverdischarge HOOPLA ISLAND, its agents, owners, members, shareholders, officers, directors, managers, partners, employees, volunteers, manufacturers, participants, lessors, affiliates, its subsidiaries, related and affiliated entities, successors and assigns (the “RELEASED PARTIES”), on behalf of myself, my spouse, my child(ren), my parent(s), my heir(s), assign(s), personal representative(s) and estate as follows:

  1. To waive any and all claims that I have or may in the future have against the releasees and to release the releasees from any and all liability for any loss, damage, expense or injury, including death, that I may suffer or that my next of kin may suffer, as a result of my participation in HOOPLA ISLAND’s activities, due to any cause whatsoever, including negligence, breach of contract, or breach of any statutory or other duty of care, including any duty of care owed under the OCCUPIERS LIABILITY ACT of Ontario, on the part of the releasees, and further including the failure on the part of he releasees to safeguard or protect me from the risks, dangers and hazards of participating in HOOPLA ISLAND referred to above.
  2. To hold harmless and indemnify the releasees for any and all liability for any property damage, loss or personal injury to any third party resulting from my participation in HOOPLA ISLAND’s activities.
  3. This release Agreement shall be effective and binding upon my heirs, next of kin, executors, administrators, assigns and representatives, in the event of my death or incapacity.
  4. This Release Agreement and any rights, duties and obligations as between the parties to this Release Agreement shall be governed by and interpreted solely in accordance with the laws of Ontario and no other jurisdiction; and
  5. Any litigation involving the parties to this Release Agreement shall be brought solely within the province of Ontario and shall be within the exclusive jurisdiction of the Courts of Ontario.

In entering into this Release Agreement, I am not relying on any oral or written representations or statements made by the Releasees with respect to the safety of participating in HOOPLA ISLAND; other than what is set forth in this Release Agreement.

I CONFIRM THAT I HAVE READ AND UNDERSTOOD THIS RELEASE AGREEMENT PRIOR TO SIGNING IT, AND I AM AWARE THAT BY SIGNING THIS RELEASE AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS WHICH I OR MY HEIRS, NEXT OF KIN, EXECUTORS, ADMINISTRATORS, ASSIGNS AND REPRESENTATIVES MAY HAVE AGAINST THE RELEASEES.

Today's Date: July 4, 2020 

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*

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

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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