Waver Form

Branson Rockefeller trustee-kitesuppuffandstuff.com.au-Peter Bailey it’s owners, employees, members, managers, agents, lessors, insurer, representatives -will be referred to as “KSPS”

Release of liability, waiver of claims and express assumption of risk agreement

It’s dangerous

I hereby understand and acknowledge the extreme inherent hazards associated with watersport and landsport activities, including, but not limited to Kite surfing, Paddle boarding and skateboarding.

It’s always going to be dangerous

I realize that these risks cannot be eliminated and include, but are not limited to, falling onto land or into water, being struck by equipment, drowning, and being struck by others. These risks may be caused by the negligence of myself or others, reckless misconduct of myself or others, or otherwise.

I’m responsible for myself

I understand and acknowledge that these risks could lead to severe physical, mental and emotional injury, paralysis, death and/or damage to me, property belonging to me, KSPS and to third parties. My participation in these activities is voluntary, and I agree to assume all risk of personal injury including paralysis and death which may occur while I am at/on any KSPS facility or participating in any KSPS arranged activity or using KSPS owned products.

I’ll go with the flow

I agree to abide by all KSPS safety rules and strictly follow all instructions given and requests made by KSPS. I agree to use proper Kite surfing, Paddle boarding and skate boarding practices and/or procedures. If I fail to abide by the rules, the fault is solely my own

I won’t break the law

I agree to abide by all boating and road regulations and laws. If I fail to abide by the rules, the fault is solely my own

KSPS is not responsible for me

I hereby voluntarily agree to release and hold KSPS harmless from all liability for all personal injury that I may incur and waive any and all claims demands, or cause of action, which are in any way connected with my participation in this activity or use of KSPS equipment and/or facilities, including any such claims which allege negligent acts or omissions of KSPS.

I understand that this agreement waives any and all of my claims for personal injury, including death based in total or in part upon negligent action or inaction of KSPS.

I certify that I have adequate insurance to cover any injury or damage that I may cause or suffer while participating in KSPS activities, or else I agree to bear the cost of such injury or damage myself.

I have no preexisting conditions

I certify that I have no emotional and/or physical conditions that could interfere with my safety in this activity, or else I am willing to assume, and bear the cost of, all risks that may be created, directly or indirectly, by any such condition.

I understand how the tools work

I agree that I have good basic understanding of how the associated tools and equipment work, related to the participating activity. I will inspect the equipment before each use, to make certain it is safe for use. I will not undergo any practical activity with products bought, borrowed, rented from KSPS, with comprehensive theoretical and practical training.

I will only use the equipment from KSPS in areas safe for their intended use.

I will always wear associated safety equipment for the participating activity. In some cases I may supply this equipment myself.

I agree to pay for all damage to rented products from KSPS, which are in my care.

I take all responsibility for anyone I let use a product from KSPS

I Hereby declare that I am 18 years of age or older and competent to sign this agreement, or, I am the parent or legal guardian of the minor participant and am signing this agreement on his/her behalf. In the event I am injured, or if parent or guardian, my child is injured, I give permission to the physician selected by KSPS to secure and administer treatment, including hospitalization for me or my minor child named below. I agree to be responsible for any and all expenses, which may be incurred in providing any medical treatment, emergency medical treatment, and/or surgical treatment to me or the minor child named below, including transportation.

 

Adult Participant/Guardian/Parent:

 

Name Sign Date

 

Phone Email