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Participant Release of Liability, Waiver of Claims, Assumption of Risk and Indemnity Agreement

Please write your initials in the provided blank as you read, understand and agree with each point.

I understand and agree to release from any liability whatsoever the Extreme Adventure Management, LLC, Junglequi Zipline Park (the "Company") and all employees, directors, affiliates, successors, signs, agents, operators, characters, and underwriters, its and/or their respective heirs, executors, administrators, successors and assigns, from any illness, injury, serious injury or death caused by or resulting from my and/or my family’s participation in the Junglequi Zipline Tour (the "Activity")activities including, without limitation, the design of the tours, performance of the equipment and ropes or lines, preparation, instructions, execution of maneuvers before, during and after the tours and the emergency and rescue maneuvers, associated with the Junglequi zip line tour, whether or not such injury or death was caused by their negligence (active or passive), from me or my family’s negligence, or from any other cause. I recognize and acknowledge that there are risks inherent in any activity and that the same factors that contribute to enjoying an activity, may also cause property damages, accidental injury, or in extreme cases, serious injuries or death. Having acknowledge that general risks exist, I hereby specifically accept and assume the following specific risks that may arise in participating in the Junglequi Zipline Tour (the Activity): (a) my participation in the Zipline Tour may result in accidents, panic, hyperventilation, heart attack, injury and/or death; (b) such injuries or accidents may occur in remote places where there are no immediately available medical facilities; (c) during the Zipline Tour I may experience fatigue, extreme heat, dizziness which may diminish my reaction and that of others and may therefore increase the risk of accidents; (d) changing weather, rain, slippery trails and/or roads, my own inability to properly participate or follow rules and directions concerning the activity, may all contribute to the chances of accident and/or injury. 


I am physically fit and able to partake in the zip line tour. I acknowledge that I will be required to listen to and follow rules and guidelines for participating in the activity, including but not limited to the following:

  • I will abide by all instructions provided to me by Junglequi, the Junglequi's designated tour guides and employees.
  • I will not make any adjustments to my equipment, and I agree that all adjustments will be made only by or with the assistance of a Junglequi Tour guide.
  • I will not intentionally flip myself over or invert myself while on the Zipline
  • I will always hold on with at least one hand at all times while ziplining


I am not pregnant.


I do not have current back problems such as herniated disks, previous back and neck surgery, or limited mobility in raising my arms.


I do not suffer from epilepsy or seizures of any type.


I have not consumed drugs, alcohol or other chemicals that could impair my ability to participate in the zip line tour.


I understand and agree that the Company reserve the right, in its sole discretion, to refuse to permit me to participate in the Activity, and the Company may terminate my participation in the Activity if it believes me to be incable of following the instructions or meeting the safety requirements or the rigors of participating in the Activity. I specifically agree to release the Company from any liability if I am prevented from participating in the Activity for any reason whatsoever.


In consideration of being allowed to partake in the zip line tour, I hereby personally assume all risk in connection with the zip line tour for any harm, injury, damage or death that may befall me while participating in the zip line tour, including all risk connected therewith, whether foreseen or unseen. I further agree to defend, indemnify and hold Extreme Adventure Management, LLC dba Junglequi and their agents, employees, officers and owners harmless from any liability WHATSOEVER for any bodily injury, death, loss of personal property or expenses resulting from my participation in the Activity.


I, for myself, my family, my heirs, and executors, promise not to hold liable Extreme Adventure Management, LLC or Junglequi, if I or my family is injured for any reason, this is a release of liability. This is the knowledge that Junglequi promises to provide a tour that meets the international standards for a zip line operation as in the Commonwealth of P.R. If anyone or more of the provisions contained in this Agreement shall be invalid, illegal or unenforceable in any respect under applicable law, the validity, legality and enforceability of the remaining provisions contain herein shall not in any way be affected or impaired


I weigh 275 pounds or less.


I, hereby affirm that that I have been advised and thoroughly informed of the inherent hazards of the zip line tour. I have carefully read the above and fully understand and have signed it on my own free will. I am aware that I am releasing certain legal rights that I might otherwise have and entered into this contract on behalf of myself and or my family of my own free will.

Date: May 14, 2025

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information

Comments, any considerations or important information you would like to relay to us. If you have had any type of allergies or surgery in the last 6 months please inform us in the section that follows to guarantee your well being.
First Participant's Signature*
Second Participant's Name

First Name*

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

Comments, any considerations or important information you would like to relay to us. If you have had any type of allergies or surgery in the last 6 months please inform us in the section that follows to guarantee your well being.
Third Participant's Name

First Name*

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

Comments, any considerations or important information you would like to relay to us. If you have had any type of allergies or surgery in the last 6 months please inform us in the section that follows to guarantee your well being.
Fourth Participant's Name

First Name*

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

Comments, any considerations or important information you would like to relay to us. If you have had any type of allergies or surgery in the last 6 months please inform us in the section that follows to guarantee your well being.
Fifth Participant's Name

First Name*

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

Comments, any considerations or important information you would like to relay to us. If you have had any type of allergies or surgery in the last 6 months please inform us in the section that follows to guarantee your well being.
Sixth Participant's Name

First Name*

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

Comments, any considerations or important information you would like to relay to us. If you have had any type of allergies or surgery in the last 6 months please inform us in the section that follows to guarantee your well being.
Seventh Participant's Name

First Name*

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

Comments, any considerations or important information you would like to relay to us. If you have had any type of allergies or surgery in the last 6 months please inform us in the section that follows to guarantee your well being.
Eighth Participant's Name

First Name*

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

Comments, any considerations or important information you would like to relay to us. If you have had any type of allergies or surgery in the last 6 months please inform us in the section that follows to guarantee your well being.
Ninth Participant's Name

First Name*

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

Comments, any considerations or important information you would like to relay to us. If you have had any type of allergies or surgery in the last 6 months please inform us in the section that follows to guarantee your well being.
Tenth Participant's Name

First Name*

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

Comments, any considerations or important information you would like to relay to us. If you have had any type of allergies or surgery in the last 6 months please inform us in the section that follows to guarantee your well being.
Parent or Guardian's Email Address

Email*

Confirm Email*
Emergency Contact Information

In case of an emergency, I understand that effort will be made to secure proper treatment, I hereby give permission for such treatment.  My personal health and accident insurance covers any accidents or illness which I may incur during this experience and I will personally guarantee any costs or other liability incurred during evacuation or treatment: Please contact the following person in case of an emergency.


Name: *

Phone: *
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*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information

Comments, any considerations or important information you would like to relay to us. If you have had any type of allergies or surgery in the last 6 months please inform us in the section that follows to guarantee your well being.
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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