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WAIVER OF LIABILITY AND ASSUMPTION OF RISK

 

I, the undersigned, ___________________ (the ‘Customer’), voluntarily make and grant this Waiver of Liability and Assumption of Risk in favour of  _A.Goodes and G. Munke  (the 'Owner') as partial consideration (in addition to monies paid to the Owner) for the opportunity to use the facilities, equipment, materials and/or other assets of the Owner; and/or to receive assistance, training, guidance and/or instruction from the personnel of the Owner; and/or to engage in the activities, events, sports, festivities and/or gatherings sponsored by the Owner; I hereby waive and release any and all claims whether in contract or for personal injury, property damage, damages, losses and/or death that may arise from my aforementioned use or receipt, as I understand and recognise that there are certain risks, dangers and perils connected with such use and/or receipt, which I hereby acknowledge to have been fully explained to me and which I fully understand, and which I nevertheless accept, assume and undertake after inquiry and investigation as to the nature and extent of such risks has shown those risks to be wholly satisfactory and acceptable to me. I further agree to use my best judgment in undertaking these activities, use and/or receipt and to strictly adhere to all safety instructions and recommendations, whether oral or written. I hereby certify that I am a competent adult assuming these risks of my own free will, being under no compulsion or duress. I hereby take full responsibility of the assets in good order and am fully responsible for the supervision and safekeeping and informing other persons and/or guardians of the risks associated with the using of the equipments and the responsibility of Liability and Assumption of Risk is wavered from the Owner. This Waiver of Liability and Assumption of Risk is effective from______ hours_____/_____/200___, to _______ hours_____/_____/200___, inclusive, and may not be revoked or amended without the prior written consent of the Owner.

 

Customer Signature:  _____________________________________

 

Customer Full Name Printed: _____________________________________

 

Customer Address:   _________________________________________________________

 

   _________________________________________________________

 

   ________________________________ POST CODE _____________

 

Date:    _____   /  _____   /  200____

 

Date of Birth:   ______ / ______ / ______

This section is under construction

and will be completed shortly 1-4-2017

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