Adventure Zone

Waiver of Liability Forms

 

 
Adult Waiver of Liability

Adventure Zone Inc. recommends that all participants have an examination by a licensed physician prior to participating in sponsored activities. The purpose is to discover any condition which would make it dangerous for the child or adult to participate in strenuous Adventure Zone Inc. sponsored activities and to protect other participants from communicable diseases.

In accordance with section 7-6-9 of Rhode Island General Laws (entitled) "Exception from Liability to participants in Athletic or Sports Events?" I hereby waive any liability that AZ, its officers, directors, trustees, agents, servants, or employees shall not be liable for any bodily injury incurred by me/my child while practicing for or participating in any contest or exhibition of an athletic or sports nature. I hereby agree to participate in all sports related programs and, to the best of my knowledge, have no physical conditions which make it dangerous for me to participate in Adventure Zone Inc. program activities.
Emergency Medical Treatment
I hereby give permission to the physician selected by the Director to hospitalize, secure proper treatment for, and to order injection, anesthesia or surgery for me.
Hospital Preference:
(if available)
Emergency Contact:
Contact Tel.: E-mail:
Signature: Date:
By submitting this form you are entering into a legal binding agreement.
Your electronic signature is a binding authorization.
Child / Dependent Waiver of Liability

Adventure Zone Inc. recommends that all children have an examination by a licensed physician prior to participating in sponsored activities. The purpose is to discover any condition which would make it dangerous for the child to participate in strenuous Adventure Zone Inc. sponsored activities and to protect other participants from communicable diseases.

In accordance with section7-6-9 of Rhode Island General Laws (entitled) "Exception from Liability to participants in Athletic or Sports Events?" I hereby waive any liability that AZ, its officers, directors, trustees, agents, servants, or employees shall not be liable for any bodily injury incurred by me/my child while practicing for or participating in any contest or exhibition of an athletic or sports nature
I hereby give my permission for my child to participate in all sports related programs and, to the best of my knowledge, my child has no physical conditions which make it dangerous for him/her to participate in AZ program activities.
Emergency Medical Treatment
In the event that I cannot be reached in an emergency; I hereby give permission to the physician selected by the Director to hospitalize, secure proper treatment for, and to order injection, anesthesia or surgery for my child as named herein.
Emergency Contact:
Contact Tel.: E-mail:
Parent Signature: Date:
By submitting this form you are entering into a legal binding agreement.
Your electronic signature is a binding authorization.