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Waikōloa Dry Forest Preserve Sign-in


AGREEMENT FOR ASSUMPTION OF RISK, WAIVER OF CLAIMS, AND INDEMNIFICATION ARISING OUT OF THE USE OF OR PRESENCE ON OR IN LAND, BUILDINGS, OR OTHER FACILITIES OWNED OR CONTROLLED BY THE WAIKOLOA DRY FOREST INITIATIVE

For and In consideration of THE OPPORTUNITY TO USE OR BE PRESENT ON OR IN LAND, BUILDINGS, OR OTHER FACILITIES (COLLECTIVELY REFERRED TO AS “PROPERTY”) OWNED OR CONTROLLED BY WAIKOLOA DRY FOREST INITIATIVE INC (WDFI) OR THE WAIKOLOA VILLAGE ASSOCIATION (WVA), IN THIS INSTANCE, WAIKOLOA DRY FOREST PRESERVE, YOU STATE THE INDIVIDUAL VISITING IS IN GOOD HEALTH; ACKNOWLEDGE HE/SHE WILL BE ENTERING WILD FOREST AND ROUGH TERRAIN, AND AGREE TO THE

FOLLOWING:

(1) In recognition that Property and its use may involve some inherent risks that cannot be totally eliminated, Undersigned assumes all risk, known and unknown, of injury to person, including death, and damage to property resulting from Undersigned’s use of or presence on or in Property.

(2) Undersigned expressly agrees to waive all claims and rights of subrogation and release, indemnify, defend, and forever hold harmless WDFI AND WVA, it’s employees and contractors, from any loss, liability, joint liability, several liability, or joint and several liability resulting from any and all claims, demands, or actions against WDFI by Undersigned or any person or entity holding by or through Undersigned or any insurance carrier or organization or person for payment or reimbursement of any debts, obligations, liens, joint tortfeasor claims, or claims for contribution or indemnity relating in any way to the matters covered by this Agreement.

(3) The terms of this Agreement shall be enforceable to the greatest extent allowed by law with respect to Undersigned and WDFI, each of which is defined to include its respective parents, guardians, heirs, executors, administrators, representatives, successors, assigns, trustees, receivers, agents, employees, officers, directors, stockholders, general or limited partners, joint ventures, parent or subsidiary corporations, related or affiliate entities, and all persons, entities, or parties claiming by, through, or under the named parties.

(4) Undersigned agrees to provide WDFI with a properly signed and dated copy of this Agreement before entering or using Property, and to provide, if requested, proof of identification that includes a recent photograph.

(5) Undersigned agrees to comply with all applicable requirements, rules, and regulations of government entities, authorized licensees, and WDFI while using or being present on or in WDFI OR WVA Property.

(6) Undersigned permits use of event photos or video to be used for educational and reporting purposes.

The following signature indicates that Undersigned understands and agrees to comply with all the terms of this Agreement.


First Participant's Name

First Name*

Last Name*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Information
Reason for visit*

Zip Code (or country if international) *
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
Reason for visit*

Zip Code (or country if international) *
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
Reason for visit*

Zip Code (or country if international) *
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
Reason for visit*

Zip Code (or country if international) *
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
Reason for visit*

Zip Code (or country if international) *
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
Reason for visit*

Zip Code (or country if international) *
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
Reason for visit*

Zip Code (or country if international) *
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
Reason for visit*

Zip Code (or country if international) *
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
Reason for visit*

Zip Code (or country if international) *
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
Reason for visit*

Zip Code (or country if international) *
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.
Emergency Contact

Emergency Contact's Name*

Emergency Contact'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.
Parent or Guardian's Name

First Name*

Last Name*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Information
Reason for visit*

Zip Code (or country if international) *
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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