Service Provider: ADVENTURE 365
Name of Participant: ……………………………………………………………………………………………………………………………..
Address of Participant: …………………………………………………………………………………………………………………………………..
Risk Warning and Acknowledgement
I have read and understood the waiver and release conditions as provided (tick box) o
Signed by the Participant (if 18 years or over): |
Signature: …………………………………………… Date: …………………………. |
Signed by parent or guardian if under 18 years |
Signature: …………………………………………… Date: …………………………. |
WAIVER & RELEASE CONDITIONS
Service Provider: ADVENTURE 365
that may be suffered by you (or a person for whom or on whose behalf you are acquiring the services) resulting from the supply of recreational services or recreational activities is excluded.