1.I acknowledge that certain known and unanticipated
risks which could result in physical or emotional injury, paralysis,
death or damage to myself, to property, or to third parties. I
understand that such risks simply can not be eliminated without
jeopardizing the essential qualities of the activity. The risks
include among other things: Collision with other riders or
objects along the trails, walls or other fixed objects : falling
down: my own equipment failure or the failure of other’s equipment
: my own or other’s negligence : objects or conditions on the
surface that may cause me to fall : broken bones; sprains: head,
neck and back injuries: abrasions: and bruises. Furthermore,
employees and volunteers have difficult jobs to perform. They seek
safety, but they are not infallible. They might be unaware of a
participant’s fitness or abilities. They may give inadequate
warnings or instructions and the equipment being used might
malfunction.
2.I expressly agree and promise to accept and assume
all of the risks existing in this activity. My participation in this
activity is purely voluntary, and I elect to participate in spite of
the risks.
3.I hereby voluntarily release, forever discharge, and
agree to indemnify and hold harmless the Mercer Area Chamber of
Commerce Inc. and the Hurley Area Chamber of Commerce
Inc.from any and all claims,
demands, or causes of action, which are in any way connected with my
participation in this activity or my use of Mercer Area Chamber of
Commerce’s or the Hurley Area Chamber of Commerce Inc.equipment
or facilities, including such Claims which allege negligent acts
or omissions of.
4.Should the Mercer Area Chamber of Commerce Inc or
the Hurley Area Chamber of Commerce Inc. anyone acting on their
behalf, be required to incur attorney’s fees and costs to enforce
this agreement, I agree to indemnify and hold them harmless for all
such fees and costs.
5.I certify that I have adequate insurance to cover
any injury or damage I may cause or suffer while participating. Or
else, I agree to bear the costs of such injury or damage . I further
certify that I have no medical or physical conditions, which could
interfere with my safety in this activity. Or else, I am willing to
assume and bear the costs of all risks that may be created, directly
or indirectly, by any such condition.
6.In the event that I file a lawsuit against the
Mercer Area Chamber of Commerce Inc. or the Hurley Area Chamber of
Commerce Inc., I agree to do so solely in the state of Wisconsin. I
further agree that the substantive law of that state shall apply in
this action without regard to the conflict of law rules of that
state.
7.I agree that if any portion of this agreement is
found to be void or unenforceable, the remaining portion shall
remain in full force and effect.
By signing this document, I agree that if anyone is hurt
or property is damaged during my participation in this activity, I may
be found by a court of law to have waived my right to maintain a lawsuit
against the Mercer Area Chamber of Commerce, Inc. and the Hurley Area
Chamber of Commerce Inc. on the basis of any claim from which I have
released them herein.I have had sufficient opportunity to read this entire
document. I have read and understood it, and agree to be bound by its
terms.
Signature of participant_________________________________________________________________________
Print Name___________________________________________________________________________________
Address___________________________________________________City________________________________
State________ Zip Code_______________ Phone: ( ) __________________________ Date_________________
PARENT’S OR GUARDIAN’S ADDITIONAL INDEMNIFICATION
(Must be completed for participants under the age of 18)
IN consideration of _________________________________________________________(Print Minor’s name) being
permitted by __________________________________________________________(Print Parent or Guardian’s name)
to participate in its activities and to use its equipment and
facilities. I further agree to indemnify and hold harmless the Mercer
Area Chamber of Commerce, Inc. and the Hurley Area Chamber of Commerce
Inc.,from any and all Claims which are brought by, or on behalf of the
said Minor, and which are in any way connected with such use or
participation by the said Minor.
Parent or Guardian
Signature___________________________________________________Date:____________
Mercer, Wisconsin, home of great fishing, snowmobiling, cross country skiing, lodging in hotels, motels, cabins and resorts. Also home of the Turtle Flambeau Flowage and it's fishing, boating, canoeing, kayaking and wilderness camping opportunities.
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Copyright © 2008 Mercer Chamber of
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