LIABILITY & ASSUMPTION OF RISK WAIVER Bayplay Adventure Tours Pty Ltd
Camp Date: _____________________________________ School Name: ___________________________________ Participant Name: _________________________________________________________ Guardian Name: ___________________________________________________________ Contact Ph: _______________________________________________________________ Contact Email: _____________________________________________________________
Declaration Please acknowledge you agree and understand the declaration and indemnity below by placing tick beside each paragraph:
I understand the inherent risks of this program and give permission for the Participant/s to partake.
I understand that while all appropriate precautions will be taken, the programme activities carry an inherent element of risk. I have made myself fully aware of the risks and have requested additional information or clarification if not fully satisfied, before agreeing to this Declaration and Indemnity. I hereby give my consent and authorize the person in charge, or his/her representative, to administer medical attention for the Participant/s as may be deemed necessary during the program, and I understand I am responsible for any costs resulting therefrom. I understand that by choosing to participate, or granting approval to participate, in the program I agree to indemnify Bayplay Adventure Tours PL against claims for personal injuries that may result, except to the extent that Bayplay Adventure Tours PL has been found negligent. I understand that the program activities may contain, but not be limited to outdoor adventurous activities such as high and low rope courses; water activities; sea kayaking, snorkelling, boat charters, stand up paddleboard, canoeing and swimming; bike riding; bushwalking, hiking, navigating; camping; meal preparation, beach activities, team building games, ball games and initiatives. This Declaration and Indemnity states that, where necessary, I have sought satisfactory clarification from Bayplay Adventure Tours PL about the inherent risks associated with the program and its activities and I understand and accept those risks. I understand that this Declaration and Indemnity will be retained by Bayplay Adventure Tours PL and stored in accordance with Privacy Legislation; that the information will be used only to facilitate the provision of a safe and enjoyable experience for the program Participants; that the Participant may update incorrect information, or inspect information held about them by Bayplay Adventure Tours PL at any agreed time. I understand that should I refuse to provide a Declaration and Indemnity the Participant will most likely be refused permission to participate in the program. I agree to contact the Bayplay Adventure Tours PL on +61 59840888 if I do not fully understand and agree with this Declaration and Indemnity.
Guardian Signature______________________________________ Date: _______________ Bayplay Adventure Tours Pty Ltd Group Accommodation, School Camps & Programs Office: 3755 Point Nepean Road, Portsea Vic, 3944 Ph: 03 59840888