Please read the terms and conditions below before sending the form:
I agree that on acceptance of this application that this group will under the guidance of our leaders co-operate with the rules and regulations as laid down by the staff and instructors of Lilliput Adventure Centre.
I also hereby agree to release Lilliput and or its representatives from any and all liabilities in respect of personal injury loss or damage, unless such injury loss or damage is the result of negligence on the part of Lilliput and or its representatives.
Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19 The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, government and state health agencies recommend social distancing.
Lilliput Adventure Centre has put in place preventative measures to reduce the spread of COVID-19; however, Lilliput Adventure Centre cannot guarantee that you will not become infected with COVID-19. Further, attending Lilliput Adventure Centre could increase your risk of contracting COVID-19.
By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I may be exposed to or infected by COVID-19 by attending Lilliput Adventure Centre and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at Lilliput Adventure Centre may result from the actions, omissions, or negligence of myself and others, including, but not limited to, employees, instructors, and program participants and their families.
I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I may experience or incur in connection with my attendance at Lilliput Adventure Centre. On my behalf, I hereby release, covenant not to sue, discharge, and hold harmless Lilliput Adventure Centre, its employees, instructors, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of the Lilliput Adventure Centre, its employees, instructors, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any of Lilliput Adventure Centre programs/events.