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WAIVER, RELEASE OF LIABILITY, AND ASSUMPTION OF RISK AGREEMENT

Event Name: Heartwood Park Waterslide Weekends

Location: Heartwood Preserve Inc./301 S 145th St, Omaha, NE 68154

Dates: August 1, 2, 8, 9, 15, 16, 22, 23, 29, and 30, 2026

PLEASE READ THIS DOCUMENT CAREFULLY. BY SIGNING THIS DOCUMENT, YOU ARE WAIVING CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE.

In consideration of being permitted to participate in the waterslide activation and related activities provided by Heartwood Preserve Inc. and its affiliates (hereinafter collectively “Provider”), I agree as follows:

1.   ASSUMPTION OF INHERENT RISKS

I acknowledge that participation in water slides and inflatable amusements involves inherent risks, both known and unknown, which may result in property damage, injury, illness, paralysis, or death. These risks include, but are not limited to: slipping and falling, drowning or water inhalation, collisions with other participants or the equipment, and the physical exertion required for such activities. I understand that these risks cannot be entirely eliminated without jeopardizing the core qualities of the activity.


2.   RULES AND SUPERVISION

I agree to obey all posted safety rules, as well as any verbal or written instructions given by the Provider’s staff or attendants during the event. I understand that the Provider may utilize independent attendants; however, the ultimate responsibility for participant safety (especially for minors) rests with the participant or their legal guardian. I will immediately report any unsafe behavior or equipment malfunction to the on-site staff.

 

3.   RELEASE AND HOLD HARMLESS

To the fullest extent permitted by the law of the State of Nebraska, I, on behalf of myself, my personal representatives, heirs, and next of kin, hereby release, waive, and forever discharge the Provider, its owners, officers, employees, agents, and event sponsors from any and all liability, claims, or demands for personal injury, sickness, or death, as well as property damage and expenses of any nature, occurring during or related to my participation.

 

4.   INDEMNIFICATION

I agree to defend, indemnify, and hold harmless the Provider from and against any and all claims, lawsuits, or liabilities (including attorney's fees) brought against the Provider by third parties, other participants, or myself, arising out of my participation in the waterslide activation.

 

5.   MEDICAL CONSENT

I authorize the Provider and event staff to secure emergency medical care or treatment as deemed necessary in the event of injury or illness. I assume full financial responsibility for any medical expenses incurred as a result of participation.

 

6.   PHOTO AND MEDIA RELEASE

I hereby grant the Provider and its affiliates the irrevocable right to use my image, likeness, and sound of my voice in photographs, videos, and other media for advertising, marketing, or promotional purposes without compensation.

 

PARTICIPANT / PARENT OR GUARDIAN SIGNATURE

I am at least eighteen (18) years of age and legally competent to sign this agreement. I understand that I am giving up substantial legal rights, including the right to sue the Provider. I sign this document freely and voluntarily without any inducement.

 

I have read and understand this Agreement and have been given the opportunity to ask any questions. I am aware that by signing this document, I am irrevocably waiving certain legal rights, including the absolute right to sue Heartwood Preserve.Copy and paste the body of your waiver here.

First Participant's Name
First Name*
Middle Name
Last Name*
Phone*
First Participant's Date of Birth*
Date of Birth
First Participant's Signature*
Second Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email*
Confirm 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.


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*
Middle Name
Last Name*
Phone*
Parent or Guardian's Date of Birth*
Date of Birth
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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