Complete a waiver for myself
Complete a waiver for myself and children
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Adult Information

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( Age must be at least 18 years old )

Contact Information

Participants

Liability Waiver

Please read the waiver below and fill out the required fields found in the following form sections. All liability language from the waiver will apply to all persons listed below.

DINO LAND, LLC ASSUMPTION OF RISK, WAIVER OF LIABILITY,  

AND INDEMNIFICATION AGREEMENT

 

I, for myself, my child(ren) or ward(s) sign this Waiver and Assumption of Risk in consideration of the opportunity to use the facility, or to participate in any parties or activities at/by DINO LAND, LLC. 

ASSUMPTION OF RISK

I, for myself, my child(ren) or ward(s) acknowledge and understand that there are dangers and risks associated with the activities at/by DINO LAND, LLC including but not limited to falls or trips on or from the equipment or collisions with the equipment or other participants, and agree to assume all risk of personal injury. 

I, for myself, my child(ren) or ward(s) agree to follow the safety instructions provided and acknowledge that failure to do so may result in expulsion from DINO LAND, LLC. 

WAIVER OF LIABILITY

I, for myself, my child(ren) or ward(s), and on behalf of my or their heirs, assigns, personal representatives and next of kin, HEREBY HOLD HARMLESS DINO LAND, LLC, its owners, members, officers, employees, from all liability for any such personal injury, disability, death or loss or damage to person or property to the fullest extent of the law. 

I, for myself, my child(ren) or ward(s), understand that adult supervision of each child by that child’s parent or authorized caregiver is required at all times.  DINO LAND, LLC shall not be liable for any injury resulting from absence of adult supervision, including but not limited to, any child leaving the property of DINO LAND LLC without a parent or caregiver.

INDEMNIFICATION. I, for myself, my child(ren) or ward(s), further agree to indemnify and hold harmless DINO LAND LLC, its owners, members, officers, employees, from all liability for any such personal injury, disability, death or loss or damage to person or property, to the fullest extent of the law, whether caused by negligence of DINO LAND, LLC or otherwise.

TERM OF AGREEEMNT.  I, for myself, my child(ren) or ward(s) understand that my execution of this waiver on the initial visit will authorize DINO LAND, LLC to enter this waiver into its database and use it as a continuous, multi-use waiver for mine and my child’s/children’s ongoing participation in the activities or use it as a waiver executed for my other child/children. I hereby expressly authorize DINO LAND, LLC to use this Waiver as a multi-use waiver until such time as I revoke it in writing. 

I HAVE READ THE ABOVE WAIVER AND BY SIGNING IT I AGREE IT IS MY INTENTION TO EXEMPT, RELIEVE, AND INDEMNIFY DINO LAND, LLC PLAYGROUND FROM ALL LIABILITY ARISING FROM UTILIZING THE FACILITIES.

 


By signing this waiver, I agree that all information is complete and accurate.