PARTICIPANT AGREEMENT, RELEASE AND ASSUMPTION OF RISK Logo
  • PARTICIPANT AGREEMENT, RELEASE AND ASSUMPTION OF RISK

  • In consideration of the services of Pahrump Disability Outreach Program, their agents, owners, officers, volunteers, employees, andallother persons or entities acting in any capacity on their behalf (hereinafter collectively referred to as "PDOP"), I hereby agree to release, indemnify, and discharge PDOP, on behalf of myself, my spouse, my children, my parents, my heirs, assigns, personal representative and estate as follows: 1.I acknowledge that my participation in Pumpkin Patch, Bowling & Games, Mechanical Bull Rides, Corn Jump, Straw Jump, Face Painting, Fire Truck, Haunted House, Hay Maze, Hay Pyramid, Hay Ride, Petting Zoo, Photo Opportunities, Train Ride, Axe Throwing or other special events or activities entails known and unanticipated risks that 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 cannot be eliminated without jeopardizing the essential qualities of the activity. The risks include, among other things: slip and falls; collision with fixed objects or people; falling off of or being thrown from the bull or activity unit which could result in musculoskeletal injuries including head, neck, and back injuries; sprains, strains, scratches, bruises, abrasions, cuts, lacerations, broken bones, fractures, injuries to internal organs; loss of fingers or other appendages; being struck by a flying axe, bounce back from an axe; collision with other participants; animal bites, concussions or even more severe life threatening hazards; cardiac related illness; equipment failure and/or operator error; the negligence of other participants, or other persons who may be present; equipment failure or operator error; my own physical condition, and the physical exertion associated with this activity. In any event, if you or your child is injured, any medical assistance will be at your own expense. 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 PDOP 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 PDOP equipment or facilities, including any such claims which allege negligent acts or omissions of PDOP.

    4.Should PDOP or 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 myself. I further certify that I am willing to assume the risk of any medical or physical condition I may have. 6. In the event that I file a lawsuit against PDOP, I agree to do SO solely in the state of Nevada and I further agree that the substantive law of that state shall apply in that action without regard to the conflict of law rules of that state. I agree that if any portion of this agreement is found to be void or unenforceable, the remaining portions shall remain in full force and effect. By signing this document, I acknowledge 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 PDOP on the basis of any claim from which I have released them herein. I also agree that this document is valid for subsequent visits and participation at PDOP. I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by its terms.

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  • PARENT'S OR GUARDIAN'S ADDITIONAL INDEMNIFICATION

  • (Must be completed for participants under the age of 18)

    In consideration of the following minor(s): (print name(s)and DOB(s

    being permitted by PDOP to participate in its activities and to use its equipment and facilities, I further agree to indemnify and hold harmless PDOP from any and all claims which are brought by, or on behalf of minor(s), and which are in any way connected with such use or participation by minor(s Parent or Guardian:Print Name:

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