DISCLAIMER

FORM

DOWNLOAD AND PRINT DISCLAIMER FORM PDF
PARTICIPANT AGREEMENT,  RELEASE AND ASSUMPTION OF RISK

In consideration of the services of Wolf Creek Habitat, their agents, owners, officers, volunteers, participants, employees, and all other persons or entities acting in any capacity on their behalf (hereinafter collectively referred to as "WCH"), I hereby agree to release, indemnify, and discharge WCH, 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 the WCH’s sit with wolves’ program 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, but is not limited to: slips and falls; falling objects; encounters with animals, wildlife, insect bites and hazardous plant life; which could cause allergies, and associated diseases; exposure to temperature and weather extremes which could cause hypothermia, hyperthermia (heat related illnesses), heat exhaustion, sunburn, dehydration; inclement weather; my own physical condition, and the physical exertion associated with this activity. Wolves are wild animals and may act unpredictably at times based upon instinct or fright. Wolves may do such things as bite, or scratch. Additionally, any participant under the age of 18 must be at least 60 inches tall in order to enter the enclosures. 

 

           Furthermore, WCH employees have difficult jobs to perform. They seek safety, but they are not infallible. They might be unaware of a participant's fitness or abilities. They might misjudge the weather or other environmental conditions. They may give incomplete warnings or instructions, and the equipment being used might malfunction. 

 

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 WCH 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 WCH 's equipment or facilities, including any such claims which allege negligent acts or omissions of WCH. 

 

4.      Should WCH 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 WCH, I agree to do so solely in the state of Indiana, 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 WCH on the basis of any claim from which I have released them herein. 

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.    

 

Print Name_____________________________________________________________________________

Phone Number__________________________________ 

Address_________________________________________________________________________________ 

City ___________________________________________________________________

State ________________________________________Zip______________ Email__________________________________________________________________________________

Signature of Participant

_______________________________________________________________________________________

Date _________________________________________

PARENT'S OR GUARDIAN'S ADDITIONAL INDENTIFICATION 

(Must be completed for participants under the age of 16) 

In consideration _______________________________________________________________________________________of (print minor's name) ("Minor") being permitted by WCH to participate in its activities and to use its equipment and facilities, I further agree to indemnify and hold harmless WCH from any and all Claims which are brought by, or on behalf of Minor, and which are in any way connected with such use or participation by Minor. 

Parent or Guardian: _____________________________________________________ 

Print Name:____________________________________________________ Date: _________________

WOLF CREEK HABITAT

513 - 312 - 9143       wolfcreekhabitat@msn.com       14099 Wolf Creek Rd. Brookville, Indiana 47012

© Wolf Creek Habitat 2018 Non-Profit Organization

Some of Our Supporters

DEER PARK ROOFING

bigplash-01.png
Lithko Constructin llc-1.jpg