AMAZON ANDES SKKY TOUR

EXPRESS ASSUMPTION OF RISK AND RELEASE OF LIABILITY, AND WAIVER OF CLAIMS

ATTACHMENT C

Please read and be certain you understand the implications of signing

 

I, hereby affirm and acknowledge that I have been fully informed of the inherent hazards and risks associated with Tour activities provided through Amazon Andes Sky, LLC, (“Amazon Andes”) including but not limited to yoga, horseback riding, hiking and cycling at very high elevations and in rough mountainous terrain, transportation of equipment related to the activities, and traveling to and from activity sites, in which I am about to engage. Inherent hazards and risks include but are not limited to:

  1. 1.   Risk of injury from the activity and equipment utilized is significant including the potential for permanent disability and death. 

  2. 2.   Falling, causing broken bones severe injuries to the head, neck and back which may result in severe impairment or even death. 

  3. 3.   All "acts of nature," including but not limited to avalanche, rock fall, inclement weather, thunder and lighting, severe and or varied wind, temperature and other weather conditions. 

  4. 4.    Risks associated with crossing, climbing or down-climbing of rock, snow and/or ice, with river crossings, fordings, or portaging. 

  5. 5.    Possible equipment failure and/or malfunction of my own or others' equipment, which may have been rented, borrowed, or personally owned. 

  6. 6.   My own negligence and/or the negligence of others, including employees, agents, independent contractors or representatives of Amazon Andes including but not limited to operator failure. 

  7. 7.   Cold weather and heat related injuries and illness including but not limited to frostnip, frost bite, heat exhaustion, heat stroke, sunburn, hypothermia and dehydration. 

  8. 8.   Attack by or encounter with insects, reptiles, and/or animals. 

  9. 9.   Accidents or illness occurring in remote places where there are no available medical facilities. 

  10. 10.   Fatigue chill, and/or dizziness, which may diminish my/our reaction time and increase the risk of accident 

  11. 11.   My sense of balance, physical coordination, and ability to follow instructions. 

*I understand the description of these risks is not complete and that unknown or unanticipated risks may result in Injury, illness, or death.

Release of Liability, Waiver of Claims and Indemnity Agreement

In consideration for being permitted to participate in any way in hiking and related activities, I hereby agree, acknowledge and appreciate that:

 

  1. 1.   I HEREBY RELEASE AND HOLD HARMLESS WITH RESPECT TO ANY AND ALL INJURY, DISABIUTY, DEATH, or loss or damage to person or property, WHETHER CAUSED BY NEGLIGENCE OR OTHERWISE, Amazon Andes, its officers, managers, members, tour guides, employees and agents, herein referred to as “Releasees”. 

 

  1. 2.   To release the Releasees, their officers, directors, employees, representatives, agents, and volunteers, from liability and responsibility whatsoever and for any claims or causes of action that I, my estate, heirs, survivors, executors, or assigns may have for personal injury, property damage, or wrongful death arising from the above activities whether caused by active or passive negligence of the Releasees or otherwise. By executing this document, I agree to hold the Releasees harmless and indemnify them in conjunction with any injury, disability, death, or loss or damage to person or property that may occur as a result of engaging in the above activities. 

 

  1. 3.   By entering into this Agreement, I am not relying on any oral or written representation or statements made by the Releasees, other than what is set forth in this Agreement. 

This release shall be binding to the fullest extent permitted by law. If any provision of this release is found to be unenforceable, the remaining terms shall be enforceable.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, AND I FULLY UNDERSTAND ITS TERMS, AND UNDERSTAND THAT I HAVE GIVEN UP LEGAL RIGHTS BY SIGNING IT, AND I SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

 

_______________________________________                                        _____________________________________________

Signature of Adult Participant                                                                         Name of Adult Participant (Please Print)

Date: ______________________                                                                              Date:___________________

FOR PARTICIPANTS OF MINORITY AGE: This is to certify that I, as Parent, Guardian, Temporary Guardian with legal responsibility for this participant, do consent and agree not only to his/her release of all Releasees, but also to release and indemnify the Releasees from any and all liabilities incident to his/her involvement in these programs for myself, my heirs, assigns, and next of kin.

____________________________________                                                        ________________________________________

Signature of Parent or adult legal Guardian        Name of Parent or adult legal Guardian

if Participant is a Minor, and by their signature,                                               Date:___________________

they on my behalf release all claims that both they and I have.