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I understand that Balloon Flights Over Melbourne Pty Ltd, trading as BalloonMan makes all reasonable efforts to ensure that its expeditions and flights are conducted in a safe and responsible manner and that it can assume no responsibility for illness, personal injury, loss or damage to camera and other equipment, civil arrest or death by any participant in any one of its expeditions or flights. 

Balloon Flights Over Melbourne Pty Ltd, trading as BalloonMan advises that any voluntary entry into a sky sport or hazardous environment, including ballooning, is not without some risk and that I as a potential balloon passenger or crew/chase person must be willing to assume that risk. 

Therefore, I acknowledge the inherent risk in a balloon expedition and assume all risk and responsibility for my personal safety or loss or damage to property and I release and discharge Balloon Flights Over Melbourne Pty Ltd, trading as BalloonMan, its servants, agents or employees, from any and all liability for such risks during the course of the ballooning expedition.

I, have read and understood the preceding paragraphs with respect to my acceptance of risk and my release in favour of Balloon Flights Over Melbourne Pty Ltd, trading as BalloonMan.


First Passenger Name
First Name*
Last Name*
First Passenger Age Acknowledgment*
First Passenger Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
First Passenger Signature*
Second Passenger Name
First Name*
Last Name*
Passenger Date of Birth*
Date of Birth
Third Passenger Name
First Name*
Last Name*
Passenger Date of Birth*
Date of Birth
Fourth Passenger Name
First Name*
Last Name*
Passenger Date of Birth*
Date of Birth
Fifth Passenger Name
First Name*
Last Name*
Passenger Date of Birth*
Date of Birth
Sixth Passenger Name
First Name*
Last Name*
Passenger Date of Birth*
Date of Birth
Seventh Passenger Name
First Name*
Last Name*
Passenger Date of Birth*
Date of Birth
Eighth Passenger Name
First Name*
Last Name*
Passenger Date of Birth*
Date of Birth
Ninth Passenger Name
First Name*
Last Name*
Passenger Date of Birth*
Date of Birth
Tenth Passenger Name
First Name*
Last Name*
Passenger Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email*
Confirm Email*
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 Age Acknowledgment*
Parent or Guardian's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
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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