WAIVER FORM Page 1 of 2
Please print out, fill in and mail to:
Moon Mountain Adventures, 541 Pioneer Crescent, Parksville
British Columbia, Canada, V9P 1V1
P L E A S E R E A D C A R E F U L L Y
We desire to participate in the above activities organised by Tom Carter. We understand that in order for Tom Carter to accept our application to participate in the above activities, we must agree to be bound by this Release Waiver and Assumption of Risk.
In consideration of Tom Carter accepting our application and our being permitted to participate in the above activities, we must agree to this Release and Assumption of Risk.
We waive any and all claims we may now and in the future have against, and release from all liability, and agree not to sue Tom Carter, his family, or his estate or his staff, for any personal injury, death, and property damages, expenses or loss sustained by us, as a result of our participation in the above activities, due to any cause whatsoever, including without limitations, negligence or breach of duty.
In addition to the usual dangers and risks inherent in travel to and in mountains and other remote places, we are aware the above activities may have certain additional risks and dangers, some of which include:
Avalanches and Rockfalls: