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I hereby release Toes on the Nose, and their respective affiliates, subsidiaries, offices, directors, employees, and agents ( “Releasees”) from any and all claims, actions, damages, costs, and expenses, including attorney’s fees, as a result of arising from participation in the activity including, but not limited to, personal injury, property damage or wrongful death. THIS INCLUDES, WITHOUT LIMITATIONS, ANY CLAIMS, DAMAGES OR ACTIONS ARISING OR RESULTING FROM THE ORDINARY NEGLIGENCE OF RELEASEES. I hereby agree to waive any and all such claims and declare that this waiver and release is to be binding upon my heirs, executors, administrators, and assigns. Further, I hereby agree to release and discharge the releases from any loss or theft of, or damage of personal property.

I HEREBY PERSONALLY ASSUME ALL RISKS WHETHER FORESEEN OR UNFORSEEN IN CONNECTION WITH THE ACTIVITY OR ANY ACTIVITES INCIDENTAL THERETO.

I hereby acknowledge that I have read the waiver and release, understand the terms and their legal effect and my signing constitutes release of valuable rights.

 

ASSUMPTION OF RISK, WAIVER OF RIGHTS AND RELEASE OF LIABILITY

 

PLEASE READ CAREFULLY: THIS FORM RELEASE US FROM LIABILITY

 

The surfing, bodyboarding, and other activities offered by Toes on the Nose may expose dangers and risks associated with hazards of beaches, trails, routes, waterways or roadways including uneven or unstable surfaces, steep grades, sharp turns and/or obstructions; falls; collisions with pedestrians, cycles, cycle riders, vehicles, manmade and natural objects; natural and manmade water environments, including but not limited to drowning, head, neck, and/or back injury, sunburn and stinging or biting ocean life.

I (We) assume the risk(s) of personal injury, accidents, and/or illness, including but not limited to, sprains, torn muscles, and/or ligaments; fractures or broken bones; eye damage; cuts, wounds, scrapes, abrasions, “road rash” and/or contusions, dehydration, oxygen shortage (hypoxia), exposure and/or altitude/water sickness; head, neck, and/or spinal injuries, animal bite or attack, insect bite or allergic reaction, shock, drowning.

 

ALL RENTALS: THEFT/DAMAGE LIABILITY

 

I hereby release Toes on the Nose, and their respective affiliates, subsidiaries, offices, directors, employees, and agents (“Releasees”) from any and all claims, actions, damages, costs, and expenses, including attorney’s fees, as a result of arising from my participation in the Activity, including, but not limited to, personal injury, property damage or wrongful death.  THIS INCLUDES, WITHOUT LIMITATION, ANY CLAIMS, DAMAGES OR ACTIONS ARISING OR RESULTING FROM THE ORDINARY NEGLIGENCE OF RELEASEES.  I hereby agree to waive any and all such claims and declare that this Waiver and Release is to be binding upon my heirs, executors, administrators and assigns.  Further, I hereby agree to release and discharge the Releases from any loss or theft of, or damage to, personal property.

 

I FULLY UNDERSTAND THAT I FOREVER GIVE UP ANY RIGHTS TO SUE OR MAKE A CLAIM AGAINST THE RELEASEES IF MY FAMILY OR I SUFFER INJURY OR DAMAGE EVEN THOUGH I (WE) DO NOT KNOW WHAT OR HOW EXTENSIVE THE INJURY OR DAMAGE MAY BE.  I HEREBY PERSONALLY ASSUME ALL RISKS WHETHER FORESEEN OR UNFORSEEN IN CONNECTION WITH THE ACTIVITY OR ANY ACTIVIES INCIDENTAL THERETO.  I FULLY UNDERSTAND AND AGREE THAT THESE TERMS ARE CONTRACTUAL AND NOT A MERE RECITIATION AND THAT I HAVE VOLUNTARILY SIGNED THIS DOCUMENT.

 

I HEREBY ACKNOWLEDGE THAT I HAVE READ THE WAIVER AND RELEASE, UNDERSTAND THE TERMS AND THEIR LEGAL EFFECT AND MY SIGNING CONSTITUTES RELEASE OF VALUABLE RIGHTS.

 

                    July 25, 2021

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Information

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Exp Date: *

Billing Zip Code: *

CVV: *
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information

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Exp Date: *

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CVV: *
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information

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Exp Date: *

Billing Zip Code: *

CVV: *
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information

Credit Card # *

Exp Date: *

Billing Zip Code: *

CVV: *
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information

Credit Card # *

Exp Date: *

Billing Zip Code: *

CVV: *
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information

Credit Card # *

Exp Date: *

Billing Zip Code: *

CVV: *
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information

Credit Card # *

Exp Date: *

Billing Zip Code: *

CVV: *
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information

Credit Card # *

Exp Date: *

Billing Zip Code: *

CVV: *
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information

Credit Card # *

Exp Date: *

Billing Zip Code: *

CVV: *
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information

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CVV: *
Parent or Guardian's Email Address

Email*

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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*
I certify that I am 18 years of age or older
Parent or Guardian's Information

Credit Card # *

Exp Date: *

Billing Zip Code: *

CVV: *
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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