RELEASE, INDEMNIFICATION AND WAIVER FORM (This is a release – please read carefully)
RELEASE, INDEMNIFICATION AND WAIVER FORM:
I, the undersigned, hereby acknowledge that I have been advised and fully understand that certain elements of danger are inherent in the activities sponsored by the Lake Superior Zoo School which are beyond the control of the instructors, agents, officers, students, and employees of the Lake Superior Zoo, and that participation in any program activities may entail unavoidable risk of personal injury, death, and loss of or damage to property. These risks include, but are not limited to insect and animal bites and stings, forces of nature such as but not limited to lightning, and unexpected extreme weather conditions, and any hazard present in the wilderness, such as but not limited to low lying branches, sharp objects, and slippery surfaces.
I hereby assume all risks of injury and death to the participant and loss of or damage to property arising out of participation in such activity and I agree to indemnify, hold harmless the Lake Superior Zoo, Lake Superior Zoological Society, and City of Duluth, its agents, officers, instructors, board members, employees, and representatives (“Releasees”) from and against all claims arising from any occurrence causing damage or injury to myself or to any party participating in said event or any third parties injured as a result of my actions. I further agree to repair or reimburse the Lake Superior Zoo for any and all damages that I cause to the property at which a specific activity is held.
Prior to signing below, I have read and understand the terms and conditions of this Release, Indemnification, and Waiver. I understand by signing below I am waiving certain legal rights I may have against the Releasees, and I agree to subscribe to all the terms and conditions set out above.
PHOTO/VIDEO RELEASE:
By checking the box below, I do hereby authorize the Lake Superior Zoo, and those acting pursuant to its authority to:
a. Record my child’s participation and appearance on video tape, audio tape, film, photograph or any other medium.
b. Exhibit or distribute such recording in whole or in part without restrictions or limitation for any educational or promotional purpose which the Lake Superior Zoo, and those acting pursuant to its authority, deem appropriate.