Hot Air Balloons
Hot Air Balloons
 

Rolland Enterprises Inc.

Waiver

NOTE

  • Please take this opportunity to review and familiarize yourself with the Rolland Enterprise Inc. waiver and liability exclusion agreement before we meet at our designated time.

  • A hard copy of this waiver will be presented to each passenger for completion and signature at our designated meeting time.

HOT AIR BALLOON RIDE WAIVER AND LIABILITY EXCLUSION AGREEMENT RELEASE

Name of Participant:

 

 

Street (RR#):

 

 

City:

 

Province (State):

 

 

Country:

 

Postal Code (ZIP):

 

Phone:

 

E-Mail:

 

Date of Birth:

 

Weight :

 

lb/kg

Occupation:

 

 

 

In consideration of Rolland Enterprises Inc. and its affiliated advertisers and sponsors permitting me to participate in a hot air balloon ride; I the undersigned, for myself, my heirs, executors, administrators and assigns, hereby release Rolland Enterprises Inc. and its affiliated advertisers and sponsors, their directors, officers, agents, employees and volunteers from all claims, demands, damages, actions and causes of action for or by reason of my death or injury to my person or damage to my property that I may sustain or incur while participating in the hot air balloon ride or the activities associated with the balloon ride including travel to and from the location of the hot air balloon ride on either public or privately owned lands, even if such damage, injury or death results from or in part from the negligence of Rolland Enterprises Inc., its directors, officers, agents, employees or volunteers.

 

I understand that participation in the hot air balloon ride and any activity associated with the balloon ride including the balloon’s launch and landing, overland transport by walking or by motor vehicle while travelling to or from the location of the hot air balloon on public or privately owned lands involves risk.  This risk could in some circumstances, result in injury or death.

 

I declare that I am in proper physical condition to participate in the hot air balloon ride and that if I am in doubt or have questions regarding my medical or physical condition, I understand it is my responsibility to consult with a medical physician regarding the possible aggravation of past or present injuries or any other physical condition regarding my current health including pregnancy.

 

I understand it is my responsibility to listen and identify to the hot air balloon pilot conducting the briefing, any part of the preflight hot air balloon ride briefing that I do not understand before entering the hot air balloon.

 

I understand I must comply with the instructions given by the hot air balloon pilot conducting the ride.

 

I understand and agree that photographs taken of me during the ride may be used to promote hot air ballooning without any further permission or consideration from myself.

 

I understand that due to technical or safety reasons and at the sole discretion of Rolland Enterprises Inc. or its agents, the hot air balloon ride may be cancelled or may not be able to begin or end at or on the time or date scheduled.

 

I agree not to make claim or take any proceedings against any person who might claim contribution or indemnity against Rolland Enterprises Inc. or its affiliated advertisers and sponsors or their respective directors, officers, agents, employees and volunteers.

 

I have read the above and understand it and that I am entering into this Hot Air Balloon Ride Waiver and Liability Exclusion Agreement Release of my own free will and without duress.

Date:

 

Signature:

 

 

 

 

To be signed by legal guardian if participant is under the age of 18.

INDEMNITY

In consideration of Rolland Enterprises Inc. and its affiliated advertisers and sponsors permitting me to participate in a hot air balloon ride, I the undersigned, agree to indemnify and save harmless Rolland Enterprises Inc. and its affiliated advertisers and sponsors and their respective directors, officers, agents, employees and volunteers from and against all losses, costs and expenses, including legal expenses, that they or any of them may pay, sustain or incur for or by reason of my injury or death to my person or damage to my property that I may sustain or incur while participating in the hot air balloon ride, including travel to and from the location of the hot air balloon on public or privately owned lands.

Date:

 

Signature:

 

 

 

 

To be signed by legal guardian if participant is under the age of 18.

Signature of Witness:

 

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