Sandy River Outdoor Adventure LLC RELEASE AGREEMENT – Waiver Not to Sue and Acknowledgement and Assumption of Risk Please Read Carefully; I, the undersigned, do hereby understand, acknowledge and agree that my participation at Sandy River Outdoor Adventure Ropes Course is based on a philosophy of “Challenge by Choice”, which means that my or my minor child’s participation, and level of challenge in any activity is purely voluntary. I further understand that Team Building, High and Low Ropes, Zip Lines and other climbing related activities contain inherent risks that could lead to permanent serious injury or death. These risks could include, but are not limited to: falling to the ground, falling onto other participants, collisions with equipment or objects, being hit by falling objects, emotional duress, and natural environmental risks, including but not limited to animal/insect bites, stings, poison ivy, and uneven ground. I further understand, acknowledge, and agree that while instruction, rules, equipment, and personal discipline may reduce these risks; the possibility of injury does exist.

ASSUMPTION OF RISK UNDERSTANDING THE HAZARDS INHERENT TO THE ACTIVITY, I AGREE TO ASSUME FOR MYSELF AND/OR MY MINOR CHILD, ALL OF THE RISKS INVOLVED. RELEASE FROM LIABILITY In consideration of being allowed to participate at Sandy River Outdoor Adventure LLC, Ropes Course, I AGREE NOT TO SUE, TO RELEASE, HOLD HARMLESS, INDEMNIFY AND DEFEND SANDY RIVER OUTDOOR ADVENTURE LLC., ITS OWNERS, AGENTS AND EMPLOYEES, FROM ANY AND ALL LIABILITY, IN ANY WAY RELATED TO MY OR MY CHILD’S USE OF THE FACILITIES REGARDLESS OF ANY NEGLIGENCE ON THE PART OF THE SAME. 

Adventure Park COVID-19 Form

By signing below, I am certifying that I have not had any of the following symptoms of COVID-19, or come in contact with anyone who has, in the past 14 days. I understand that it is my responsibility to let a staff member know if I develop any symptoms during my stay.

The symptoms include: fever, cough, shortness of breath, sore throat, new loss of taste or smell, and/or gastronomical problems, including nausea, diarrhea, and/or vomiting.

Every person climbing at the adventure park must read and sign the document. An adult must sign for any minor(s) climbing at the adventure park.

I agree to report all injuries to a Ropes Course facilitator or other Ropes Course staff member before leaving the area. I hereby grant my permission for Sandy River Outdoor Adventure LLC to use any photograph, film, videotape or sound recording of me for any legitimate business purposes. I agree that all disputes arising under this contract shall be litigated exclusively in Prince Edward County, Virginia. This agreement is governed by the applicable laws of this state. If any part of this agreement is determined to be unenforceable, all other parts shall be given full force and effect.

Signature of Participant or Parent Guardian if under 18

Medical Registration Form Ropes Course activities can be strenuous and often offer exercise of a different nature than most participants are used to. Because of this Ropes Course does not want you to engage in activities that could be detrimental to your health. Therefore, we are requesting the following information in the event of an emergency. Ropes Course’s use of this information is for programming purposes for all challenge course programs only and shall comply with all applicable state and federal laws related to the privacy of health information of this type.

 

Please complete the following information:

Do you currently have allergies to:

Do you experience?

-Currently taking any Prescriptions for:

Do you carry medical insurance? 

1. I understand and acknowledge that Ropes Course does NOT make a determination of me or my minor child’s fitness for an outing; rather I represent to Ropes Course and verify that I or my minor child am physically fit and ready for an outing by signing at the bottom of this form.

2. Verification of Accuracy and Full Disclosure

I understand and acknowledge that my failure to disclose relevant information may result in harm to myself and others. I represent and warrant that I have provided all material and important information to Ropes Course pertaining to me or my minor child’s medical, mental and physical condition in view of my or my child’s participation. I agree to notify the Ropes Course facilitator if there is any change in my or my child’s mental, physical or medical condition prior to my scheduled activity.

3. I consent to emergency first aid or medical treatment, which may become necessary during or in connection with me or my minor child’s participation while at the Ropes Course.

4. Helmet Option – I understand that helmets are available, but not required. Please initial for the 4 above categories :