Hot Air Balloons
Hot Air Balloons
 

Rolland Enterprises Inc.

Waiver

NOTE

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

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

 

 

 

 

 

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 or activities associated with the balloon ride including the balloon’s launch and landing, land transport including walking and by motor vehicle to and from the location of the hot air balloon ride on either public or privately-owned lands involves risk.  This risk could in some circumstances, result in personal loss, 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, 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 directors, officers, agents, employees or volunteers are not medical professionals.

 

I understand it is my responsibility to listen and identify to the hot air balloon pilot conducting the pre hot air balloon ride briefing, any part of the 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 that I am paying for the hot air balloon ride and any other mode of transport is by my choice and without cost.

 

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

 

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 to not 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 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.  Rolland Enterprises Inc. its respective directors, officers, agents, employees or volunteers have the right to know under the Freedom of information Act.

 

I have read and understand the above and 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 or loss 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 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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