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GEORGIA SAFARI CONSERVATION PARK LLC

 WAIVER AND RELEASE OF LIABILITY


Read carefully and complete all sections in consideration of potential injury while participating in overnight lodging, safari sours, animal encounters and all other activities (Herein after “Activity” OR “Activities”) while on the premises owned and operated by the GEORGIA SAFARI CONSERVATION PARK, LLC (Herein after “the Park”).

IN CONSIDERATION OF my desire to participate in said Activities and being given the right to participate in same;

I HEREBY, for myself, my heirs, executors, administrators, assigns, or personal representatives (hereinafter collectively, “Releasor,” “I” or “me”, which terms shall also include Releasor’s parents or guardian if Releasor is under 18 years of age), knowingly and voluntarily enter into this WAIVER AND RELEASE OF LIABILITY and hereby waive any and all rights, claims or causes of action of any kind arising out of my participation in the Activities; and;

I HEREBY release and forever discharge the the Park, located at or about 1761 Monticello Highway, Madison, Morgan County, Georgia 30650, their affiliates, land owners, managers, partners, members, agents, attorneys, staff, volunteers, heirs, representatives, predecessors, successors,  employees, and/or assigns (collectively “Releasees”), from any physical or psychological injury that I may suffer as a direct result of my participation in the aforementioned Activities. I further release the Park from any and all liability for damage to my vehicle while moving through the property or while parked on property.

1.        Acknowledgment of Risks: I understand and acknowledge that I am voluntarily participating in an aforementioned Activity that involves inherent risks and dangers, including but not limited to, risks of injury from wild animals, risks from the natural environment, risks related to travel to and from the Activity, risk associated with riding on one of our vehicles, and risks associated with any other outdoor Activities, that these risks might arise from my own or other people’s negligence that could include physical or psychological injury, pain suffering, illness, economic or emotional loss, nonetheless I voluntarily assume all risks associated with my participation in any Activity on the premises at the Park.

1.        ASSUMPTION OF ALL RISKS - PERSONAL INJURY, ILLNESS, OR DEATH: I (on behalf of myself and any other persons that I oversee, such as minors or the elderly) acknowledge and understand that there are innumerable risks involved with outdoor environments and activities, with man-made structures, and with animal encounters.  I hereby agrees that by visiting the Park, I am ASSUMING ALL RISKS of any kind or nature whatsoever, including without limitation, any incidents, accidents, injuries, illnesses, and/or death. This ASSUMPTION OF RISK includes all obvious and non-obvious risks, including without limitation any animal encounters (animal bites, kicks, contact, bumps or knockdowns, the fear of a possible animal attack or charging animal, animal excretion, animal illnesses, non-Park wild animals or domesticated animals), any slip/trip/falls (whether on man-made or natural surfaces, or structures), natural habitat hazards (insect stings, snakes, falling branches, tree roots, rocks, etc.), features of the Park (including fences, sheds, unpaved roads, stairs, electrical systems), food and beverage illnesses, water and air born illnesses, illnesses transmitted from or to humans and/or animals, hazards related to the Park’s vehicles or guest vehicles, hazards caused by other guests (including the reckless, willful misconduct, or criminal acts of other guests or unauthorized trespassers), sun and heat, weather and sudden weather events (e.g., hail, tornados, microburst storms, lightning, rain, wind, etc.). In any event of an incident, accident, injury, illness, or death, I (on behalf of myself, my heirs and beneficiaries, and on behalf of any minors or others in my charge), WAIVE AND RELEASE THE PARK OF ANY AND ALL CLAIMS, AND COVENANTS NOT TO SUE OR MAKE CLAIMS (“the Park” as used in this section, includes without limitation, all Park owners, shareholders, officers, managers, employees, vendors, suppliers, insurers, brokers, attorneys, consultants, contractors, subsidiaries, and/or affiliates). I acknowledge that such previously described activities are INHERENTLY DANGEROUS and that participation in such activities involve an ASSUMPTION OF RISK that could result in damage to property, injury, or death, and I hereby knowingly and voluntarily assume all such risk.

2.        Health and Safety: I confirm that I am physically and mentally capable of participating in all Activities and have no medical conditions that would affect my safety or the safety of others during such Activities. I agree to comply with all safety instructions and regulations provided by Georgia Safari Conservation Park and its staff. In the event that I should require medical care or treatment, I authorize the Park to provide all emergency medical care deemed necessary, including but not limited to, first aid, CPR, the use of AEDs, emergency medical transport, and sharing of medical information with medical personnel. I further agree to assume all costs involved and agree to be financially responsible for any costs incurred because of such treatment.

3.        Rules and Regulations: I agree to adhere to all terms and conditions of posted rules and regulations, including but not limited to prohibited animal feeding and animal harassment, and disruptive behavior. I understand that any violation of these rules and regulations may result in the immediate removal from the Park premises with no consideration of refund of any payments made and Activities not consumed.

4.        Indemnification: I agree to indemnify and hold harmless the Park from any loss, liability, damage, or costs, including court costs and attorney’s fees, that may incur due to my participation in any Activity while on the premises at the Park.

5.        Media Release: I grant the Park the right to photograph or video my participation in any Activity and to use these images for promotional purposes without compensation. I hereby assign all rights, title, and interest I may have in or to any and all media in which my name or likeness might be used by the Park and/or the Park’s agents and/or employees.

6.        Errors and Omissions: I acknowledge that the Park is not responsible for errors, omissions, acts, or failures to act of any party or entity conducting a specific Activity.

7.        Survivability: The provisions, covenants, conditions, and indemnities contained in this Release shall survive the term of all of my Activities with the Park and my stay on the Park’s premises. By signing this release, I represent and warrant that (a) I have had ample opportunity to read this Release and have done so; (b) I fully understand and voluntarily agree to each term of this release; (c) I have the authority to sign this Release for any minor children listed on this waiver; (d) I am under no duress or requirement to sign this Release; (e) I have not been induced to sign this Release by any statement or conduct of the Park, it’s agents, volunteers, employees, officers and/or our directors or owners; and (f) I have the mental competency to understand and enter into this Release.

8.        Minor Children: If minor children are covered by this waiver, I represent that I have complete and absolute authority to bind, contract for and legally act on behalf of the minor child/children listed below and have the legal authority to make the waivers and releases contained here. I understand and acknowledge that the Park relies to its detriment on this representation and would not allow the minor child/children to participate in its programs or activities without this representation. In consideration of the minor child/children listed below being permitted by the Park to participate in its programs and activities and to use its equipment and facilities, I further agree to indemnify and hold the Park its owners, agents, volunteers, employees, officers and directors and any and all said landowners harmless from any and all claims which are brought by, or on behalf of any minor child listed below, and which are in any way connected with such use of participation by any such minor child. I further agree to accompany and supervise the minor(s) present at all times and be responsible for any property damage directly caused by the minor(s) due to my failure to supervise.

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Adult Legal Caregiver (if applicable)

Name of Legal Adult Caregiver Signing on Behalf of Participant
Adult Caregiver Relationship
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Adult Legal Caregiver (if applicable)

Name of Legal Adult Caregiver Signing on Behalf of Participant
Adult Caregiver Relationship
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Adult Legal Caregiver (if applicable)

Name of Legal Adult Caregiver Signing on Behalf of Participant
Adult Caregiver Relationship
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Adult Legal Caregiver (if applicable)

Name of Legal Adult Caregiver Signing on Behalf of Participant
Adult Caregiver Relationship
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Adult Legal Caregiver (if applicable)

Name of Legal Adult Caregiver Signing on Behalf of Participant
Adult Caregiver Relationship
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Adult Legal Caregiver (if applicable)

Name of Legal Adult Caregiver Signing on Behalf of Participant
Adult Caregiver Relationship
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Adult Legal Caregiver (if applicable)

Name of Legal Adult Caregiver Signing on Behalf of Participant
Adult Caregiver Relationship
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Adult Legal Caregiver (if applicable)

Name of Legal Adult Caregiver Signing on Behalf of Participant
Adult Caregiver Relationship
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Adult Legal Caregiver (if applicable)

Name of Legal Adult Caregiver Signing on Behalf of Participant
Adult Caregiver Relationship
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Adult Legal Caregiver (if applicable)

Name of Legal Adult Caregiver Signing on Behalf of Participant
Adult Caregiver Relationship
Parent or Guardian's Email Address

Email*

Confirm Email*
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Booked Tour Information

Date of your tour *
Time of your tour*
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*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Adult Legal Caregiver (if applicable)

Name of Legal Adult Caregiver Signing on Behalf of Participant
Adult Caregiver Relationship
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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