Hot Air Balloons
Hot Air Balloons
 

Rolland Enterprises Inc.

Waiver

NOTE

  • A hard copy of this waiver will be presented to each passenger for signature before boarding.

  • This online version of the Rolland Enterprises Inc. waiver may change without notice.

HOT AIR BALLOON RIDE WAIVER AND LIABILITY EXCLUSION AGREEMENT RELEASE

Printed Name of Participant and Parent or Guardian (if applicable):

 

 

 

 

 

Street (RR#):

 

 

City:

 

Province (State):

 

 

Country:

 

Postal Code (ZIP):

 

Phone:

Txt r

E-Mail:

 

Weight:

lb r  kg r 

Birth

Yr

In consideration of Rolland Enterprises Inc. (REI) and its advertisers and sponsors (affiliates) permitting me to participate in a hot air balloon ride; I the undersigned, for my self, my guardianship, heirs, executors, administrators and assigns, hereby release REI and its affiliates, their respective directors, officers, agents, employees and volunteers, from all claims, demands, damages, actions and causes of action for, or by reason of my or my guardianship’s death or injury or damage to property that may be sustained while participating in this balloon ride or the activities associated with this balloon ride including any travel to and from the location of the 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 REI, its directors, officers, agents, employees or volunteers.

I declare that I and my guardianship:

-Are in proper physical condition to participate in this balloon ride and that if I am in doubt or have questions regarding my medical or physical condition, it is my responsibility to consult with a medical professional regarding the possible aggravation of past or present injuries or any other physical condition regarding my or my guardianship’s health including pregnancy.  I understand that REI, its directors, officers, agents. employees or volunteers are not medical professionals.

-Are of the age and weight (in pounds or kilograms) as stated above.

I understand it is my responsibility to listen and identify to the balloon pilot conducting the pre balloon ride briefing, any part of the balloon ride briefing that I do not understand before entering the hot air balloon.  This includes my guardianship who I accept the responsibility of translating the briefing to.

I understand that I and my guardianship must comply with the instructions given by the balloon pilot conducting the ride.

I understand that my fare is for a balloon ride and any other mode of transportation is by my own choice and without fare.

I understand and agree that photographs taken of me and my guardianship during this balloon ride may be used by REI to promote hot air ballooning without any further permission or consideration.

I understand that due to technical or safety reasons and at the sole discretion of REI, the balloon ride may be cancelled or may not be able to begin or end at or on the time or date scheduled.

I agree to not make claim or take any proceedings against any person who might claim contribution or indemnity against REI, its affiliates or their respective directors, officers, agents, emploees and volunteers.

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, it is my responsibility to consult with a medical professional regarding the possible aggravation of past or present injuries or any other physical condition regarding my current health including pregnancy.  I understand that Rolland Enterprises Inc., its agents, employees and volunteers are not medical professionals.

I understand and agree that:

-I and my guardianship must comply with the instructions given by the balloon pilot conducting the ride.

-The fare I am paying is for a balloon ride only.  Any other mode of transportation is at no cost and by my own choice.

-Photographs taken of me and/or my guardianship during this balloon ride may be used by REI to promote ballooning without any further permission or consideration.

-Due to technical or safety reasons and at the sole discretion of REI, the balloon ride may be cancelled or may not be able to begin or end at or on the time or date scheduled.

I agree to not make claim or take any proceedings against any person who might claim contribution or indemnity against REI, its affiliatesor their respective directors, officers, agents, emploees and volunteers.

I understand I must declare my role if I am assessing this hot air balloon ride as a representative or acting as an agent provocateur for any federal, provincial or municipal government or other agency or organization including police before the hot air balloon ride begins.  REI, its directors, officers, agents, employees and volunteers have the right to know under the Freedom of information Act.

I have read and understand the above and I and my guardianship are entering into this Hot Air Balloon Ride Waiver and Liability Exclusion 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

IIn consideration of REI and its affiliates permitting me to participate in this balloon ride, I the undersigned, agree to indemnify and save harmless REI, its affiliates 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 or damage or loss to my property that may sustained or incurred while participating in this balloon ride, including travel to and from the location of the hot air balloon ride on public or privately owned lands.

Date:

 

Signature:

 

 

 

 

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

Witness:

 

         

 

 

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