Thilo Kass/Prescott Backcountry Tours, P.O. Box 12362, Prescott, AZ 86304
www.prescottbackcountrytours.com • (928) 778–7414 • firstname.lastname@example.org
CONSENT TO PARTICIPATE AND RELEASE LIABILITY
I, the undersigned, do hereby state that I wish to participate, of my own free will, in activities and events with/for Prescott Backcountry Tours and/or Thilo Kass at any location or premises that such activities may take place.
I understand that all activities are voluntary and that I do not have to participate unless I choose to do so. I understand that these activities may be potentially dangerous or harmful to my person or property, and that by participating, I voluntarily accept and assume the risk of injury to myself or damage to my property.
In exchange for allowing me to participate in any activities and events, I agree to release from liability, agree to indemnify and hold harmless Thilo Kass, Prescott Backcountry Tours and any agent, employee, associate, or person acting in their behalf or otherwise participating in any activities and events, for any injury to my person or damage to my property.
FOLKS WITH PHYSICAL RESTRICTIONS
For all tours, restrictions may apply to folks with certain health conditions, disabilities or other limitations, so please read about the basic requirements for participating in our outdoor adventures. Prescott Backcountry Tours reserves the right to refuse individuals who have failed to disclose any of their limitations or health issues to us without refund. Please understand that our vehicles are NOT equipped to accommodate wheelchairs. SAFETY FIRST!
This release shall be binding upon myself, successors in interest, and/or any person(s) suing on my behalf.
I have read the statements in this document, I agree with its terms and have voluntarily signed it. I understand that this document is complete onto itself and that any oral promises or representations made to me concerning this document and/or its terms are not binding upon Thilo Kass, Prescott Backcountry Tours, their agents, associates, participants and or/employees.
By signing this document I consent that all photos taken during this event can be used/published on behalf of Prescott Backcountry Tours.
I UNDERSTAND THAT THIS IS A LEGAL DOCUMENT. I HAVE READ AND UNDERSTOOD THIS RELEASE AND I UNDERSTAND ALL ITS TERMS. I EXECUTE IT VOLUNTARILY AND WITH FULL KNOWLEDGE OF ITS MEANING AND SIGNIFICANCE.