Hot Air Balloons
Hot Air Balloons
 

 

Rolland Enterprises Inc. Waiver

NOTE

A hard copy of this waiver will be provided to each passenger for signature.

HOT AIR BALLOON RIDE WAIVER AND LIABILITY EXCLUSION AGREEMENT RELEASE

Name of Participant:_____________________________________________________________

Name of Guardianship:___________________________________________________________

Address: Street (RR#):___________________________________________________________

City:_______________________________ Province/State:______________________________
Country:___________________________ Postal Code (ZIP):____________________________

Telephone:_________________________ E-Mail:_____________________________________

Participant:           Age:______ Weight:______(Kg/lb)  Birth Year:______

Guardianship:      Age:______  Weight:______(Kg/lb)  Birth Year:______
 

In consideration of Rolland Enterprises Inc. (REI), its advertisers and sponsors (affiliates) permitting me to participate in a hot air balloon ride; I the undersigned, for myself, my guardianship, heirs, executors, administrators and assigns, hereby release REI and its affiliates, their respective directors, officiers, agents, employees and volunteers, from all claims, demands, damages, actions, and causes of actions for, or by reason of myself or my quardianship's death, injury or damage to property that may be sustained while participating in this balloon ride or the activities associated with this balloon ride including travel to and from the the location of the balloon on either public or privately owned lands, even if such damage, injury or death resulted from or in part from the negligence of REI, its directors, officiers, agents, employees or volunteers.

I agree to not make claim or take proceedings against any person who might claim contribution or indemnity agaist REI, its affiliates. respective directors, officiers, agents, employees or volunteers.

I understand there is risk associated with all types of flight including hot air balloon rides.

I declare that I and my guardinship 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 myself or my guardianship"s health including pregnancy.  I understand that REI, its directors, officiers, employees or volunteers are not medical professionals.

I declare that I and my guardinship are of the age and weight (in kilograms or pounds) as stated.

I understand it is my responsibility to listen and identify to the balloon pilot conducting the preflight briefing, any part of the briefing that I do not understand before boarding 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 it is illegal to drop or throw accidentaly or on purpose anything from an aircraft.

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

I understand that due to technical or safety reasons and at the sole discretion of REI, the balloon ride may be cancelled or maynot be able to begin or conclude at or on the time or date scheduled.

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

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, state or municipal government or other agency or organization including police, before the hot ai balloon ride begins.  REI. its directors, officiers, 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 our 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 REI and its affiliates permitting our participation in the hot air balloon ride, I the undersigned agree to indemnify and save harmless REI, its affiliates, their respective directors, officiers, agents, employees and volunteers from and against all losses, costs and expenses including legal expenses. that they or any of them may pay7, sustain or incur for or by reason of my injury or death or damage or loss to my property6 that may sustained or incuured while participating in the 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)

Signature of Witness:____________________________________________________________

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