NOTICE: THIS RELEASE AND WAIVER AFFECTS YOUR LEGAL RIGHTS. PLEASE READ IT VERY CAREFULLY AND UNDERSTAND IT BEFORE INITIALING OR SIGNING IT. 

I, the named person in this google form, being above the age of eighteen (18) years, do hereby acknowledge, promise, agree, and covenant with Pura Vida For Good, their respective staff, affiliated companies, owners, land owners, officers, agents, members, volunteers, employees, other participants, and owners and lessees of the Premises on which any  Activity is conducted, (collectively hereinafter referred to as the “RELEASEES”) as follows: 

ALL ACTIVITIES REQUIRE the participant to be in very good health and strong physical condition.  All activities require physical exertion.

ACKNOWLEDGMENT OF RISKS I fully understand and acknowledge that the activities I have voluntarily chosen to participate in involves risks and dangers of serious bodily injury including but not limited to permanent disability, paralysis, and death (“Risks”); (b) there are risks, hazards and dangerous conditions inherent in the Activities that I am about to engage in voluntarily

 ACCEPTANCE OF RISK AND RESPONSIBILITY Being aware that this Activity entails risks of injury, I agree, covenant and promise, by my choice, to accept and assume all responsibility and risk for myself  for bodily injury, death, illness, disease or damages incurred, whether such Risks are identified herein or are not specified, as a result of my participation in the Activity. My participation in this Activity is entirely voluntary and I elect to participate in spite of the risks. I understand and agree that the Company reserves the right, in its sole discretion, to refuse to permit me to participate in the Activity, and that the Company may terminate my participation in the Activity, at my expense, if it believes me to be incapable of following the instructions or meeting the safety requirements or the rigors of participating in the Activity. I specifically agree to release the Company from any liability if I am prevented from participating in the Activity for any reason whatsoever. 

I voluntarily release and forever discharge the Releasees from any and all liability, claims, demands, actions or rights of action, which are related to, arise out of, or are in any way connected with my participation in this Activity, including specifically, but not limited to, the negligent acts or omissions of the Releasees, for any and all injury, death, illness, or disease, and damage to my person and property. I agree, promise and covenant not to sue, assert or otherwise maintain or assert any claim against the Releasees for any injury, death, illness or disease, or damage to my property, arising from or connected with my participation in this activity. I further agree, promise and covenant I will indemnify, save and hold harmless each of the Releasees from any and all losses, claims, actions, costs, expenses, or proceedings of any kind which may be initiated by any third person, entity or organization for its loss or damage arising out of my participation in the Activity, including reimbursement of all legal costs and reasonable attorneys’ fees incurred by the Releasees in defending against any such claim, action or proceeding. 

WARRANTIES I hereby agree, represent and warrant that: (a) to the best of my knowledge, I am not pregnant; (b) I understand the nature of the Activity and I am, or the minor for whom I sign, physically and mentally capable of participating in the Activity; (c) neither I, nor the minor for whom I sign, has a pre-existing medical condition that could be aggravated by participating in the activity or aware of any medical conditions that could affect my safety while participating in the Activity; (d) neither I, nor the minor for whom I sign, has a fear of heights or other physical or emotional limitation which should preclude participation in the Activity; and (e) agree to follow all instructions given to me by the Company’s staff while I am on the premises and while I am participant in the Activity on the premises and (f) I shall use due care and caution during the use and enjoyment of the Activity and shall immediately report to the Company any unsafe conditions or unauthorized use witnessed by the undersigned. 

PHOTOGRAPHIC RELEASE I hereby grant and convey all right, title and interest in and to any and all photographic images and video or audio recordings that may include my image taken during on the premises or while engaged in the Activity, and that were taken and/or made by staff and any affiliated companies. 

My check box of YES below indicates that I have carefully and thoroughly read the entire information above and that I understand it completely and agree to be bound by its terms.