Waiver Form
Waiver, Release and Indemnity Agreement
This agreement is required to be accepted by participants for at least one (1) time.
Email *
Purpose *
Waiver, Release and Indemnity for Personal Injury and or Death

In consideration of permitting me to enroll in and participate in Dayakboi Playground’s (DP) Sport of Archery (the Sport), beginning today, and continuing to apply for all times in the future, while I participate in the Sport, I hereby voluntarily release and indemnify both DP and Idip Enterprise (IE), the owner and operator of Dayakboi Playground, its instructors, employees and agents from any and all causes of actions, and further waive any and all claims for personal injury, property damage, or wrongful death occurring to myself arising as a result of participating, engaging and participating in the said Sport.

I understand all the potential dangers and causes of personal harm in participating in such activities, but not limited to broken bone(s), loss of sight, internal and external organ damage or loss, loss of digit(s) and/or limb(s), brain damage, spinal cord and neck injury, paralysis and death, and knowing very well such dangers, I ASSUME ALL RISK in participating in the Activities. I, further, on behalf of my heirs, executors, administrators, and assigns release and indemnify DP and IE from any and all causes of actions, and further waive any and all claims against DP and IE occurring to myself as a result of participating, engaging in the said Sport.

Health and Insurance

I assert that I possess sufficient physical fitness to enable safe participation in the Sport.

Do not have any medical condition/problems that would contra-indicate participation in the Sport.

Am covered by a valid and current 24-hour health and accident insurance Policy and/or I am accountable for my own medical needs.

I have been duly informed and hereby accept that DP and IE do not carry participant insurance and that I will be solely responsible for any medical, health or personal injury costs relating to my participation in the Activities. I am solely responsible to purchase health and accident insurance prior to any and all participation in the Activities.

Medical Care

I hereby authorize DP and IE’s instructors, employees and agents to administer emergency first aid permission to provide emergency medical aid if I become injured or ill while participating in the Sport.

Secure emergency transportation when deemed necessary.

I agree to assume the costs of all emergency medical care and transportation.

Acceptance Declaration

I hereby release, waive, discharge, indemnify, covenant not to sue, and agree to hold harmless for any and all purposes DP and IE and their instructors, employees, officers, members or agents from any and all liability, claim, demand, causes of action, suits, losses, damages, property damage, property loss or theft, costs (including court costs and solicitor’s fees) or injury, including death, that may be sustained by me while using the Facilities and/or participating in the Activities. I understand and intend that this Assumption of Risk and Release is binding upon me, my heirs, executors, administrators and assigns.

I have read and have understood this WAIVER, RELEASE, AND INDEMNITY AGREEMENT and fully understand its terms. I further acknowledge that I am signing/executing this WAIVER, RELEASE, AND INDEMNITY AGREEMENT freely and voluntarily, and intend my signature to be an unconditional release of all liability by the instructors, employees, officers, members, agents of DP and IE to the greatest extent permitted by Malaysian Law.

By clicking here I state that I have read and understood the terms and conditions

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Required
Full Name of Participant/Parent/Guardian for Supervising Children below 18 
(as per identity document)
*
Age of Participant/Parent/Guardian *
Birthdate of Participant/Parent/Guardian *
MM
/
DD
/
YYYY
Contact Number of Participant/Parent/Guardian Contact Number *
No. of Children
(Only for children below 18 years old, if not applicable just type "NA")
*
Child/Children's Name
(Only for children below 18 years old, if not applicable just type "NA")
*
Emergency Contact Number *
Emergency Contact Name *
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