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I/we the undersigned, do hereby acknowledge and fully understands that Aqua Island is a strenuous outdoor physical activity that requires strength, stamina and fitness. The runways and obstacles of the course are all inflatable items anchored in place and floating on the water surface. As such they are slippery and form an unstable but fun platform.

We, the undersigned, further understands that injuries can, and do, occur.

In using the Aqua Park, we acknowledge, understand and accept this risk of injury to myself, my friends and families. People with heart or health problems, any pre-existing injuries, especially knees, ankles, shoulders, spine, back and neck, as well as pregnant women must advise us of their condition and will not be permitted on the park.

1.       I/we, the undersigned understands that we will only use the Aqua Island on the following conditions

2.       All people named on this Waiver can competently swim

3.       It is mandatory to wear a BOUYANCY VEST ALWAYS & it must fit securely with the straps tightened.

4.       I/we will attend the safety briefing PRIOR to using the Aqua Park and will adhere to the rules of Aqua Island

5.       I/we will follow all directions of the Lifeguards and staff on duty and failure to do so may result in being removed from Aqua Island.

6.       The park must never be used under the influence of alcohol, medication or drugs.

7.       I/we warrant we have no injuries, medical problems or pregnancy that we have not disclosed to Aqua Island.

8.       Guardians of children between 3 and 7 years old must within an arms reach of their children at all times & guardians of children 8 to 14 must supervise their children at all times. 1 guardian can supervise 3 children under 7 on the park.

9.       I/we agree I/we have voluntarily chosen to participate in the activities at Aqua Island and hereby personally and freely assume all risks in connection with these activities, for any injury, death or damage.

10.   That I/we agree to accept those risks and all liabilities associated with those activities.

11.   That I/we agree that will not make any claim for personal injury, death or damage (including property damage) or other loss and that I indemnity Aqua Island for any liability occurring as a result of or in connection with my participation in the activities at Aqua Island.

12.   You authorise Aqua Island to provide First Aid and call for medical care or ambulance if, in the opinion of Aqua Island Staff medical attention is needed. You agree to pay all costs associated with any medical care and related transportation.

13.   In the case of a minor Participant, You as a parent or legal guardian acknowledge that he/she is not only signing this Agreement on his/her behalf, but that he/she is also signing on behalf of the minor and that the minor shall be bound by all the terms of this Agreement.

14.   I/we grant Aqua Island the right to use my image and name for media and marketing. and paste the body of your waiver here.

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
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.

Parent(s) or 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 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*
Parent or Guardian's 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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