Loading...

ASSUMPTION OF RISK/LIABILITY RELEASE FORM

PLEASE READ CAREFULLY

In consideration of my participation in Mogollon Adventures, LLC Tours, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows:


NOTICE OF RISK Mogollon Adventures LLC dba Creekside Tours AZ places an emphasis on safety and every responsible effort is made to safeguard you and your belongings. In order to fairly and honestly inform you of the service we provide, you should know and appreciate that during the tour you are participating in, certain risks and dangers exist which are inherent in jeep and adventure truck touring. The risks include, but are not limited to, those caused by terrain, temperature, weather, condition of participants, equipment, equipment failure, vehicular traffic, lack of hydration, and actions of other people including, but not limited to, participants, volunteers, and/or producers of the activity.

ACKNOWLEDMENT AND ASSUMPTION OF RISK I acknowledge that this activity may involve a test of a person's physical and mental limits and carries with it the potential for death, serious injury, potential property damage and property loss. The risks include, but are not limited to, those caused by terrain, temperature, weather, condition of participants, equipment, equipment failure, vehicular traffic, lack of hydration, and actions of other people including, but not limited to, participants, volunteers, and/or producers of the activity. I agree to assume the risks of personal injury and property damage associated with jeep/adventure truck touring as set forth herein and to release Mogollon Adventures, LLC dba, and/or their owners, members, directors, employees, agents, partners, or affiliates

I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me including my traveling to and from this activity, THE FOLLOWING ENTITIES OR PERSONS: Mogollon Adventures, LLC dba Creekside Tours AZ , and/or their owners, members, directors, employees, agents, partners, or affiliates.

I ALSO INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE Mogollon Adventures, LLC dba Creekside Tours AZ and/or their owners, members, directors, employees, agents, partners, or affiliates, from any and all liabilities or claims made as a result of participation in this activity, whether caused by the negligence of Mogollon Adventures, LLC dba Creekside Tours AZ, another participant, myself or otherwise.

PHOTO RELEASE I understand while participating in this activity, I may be photographed. I agree to allow my photo or video, to be used for any purpose by Mogollon Adventures, LLC dba Creekside Tours AZ.

The Accident Waiver and Release of Liability Form shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.


I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL.


Today's Date: December 1, 2023


First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Signature*
Second Participant's Name

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Where did you hear about us?

If other, please specify:
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*
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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!