ACKNOWLEDGEMENT, WAIVER AND RELEASE
PARTICIPANT
WARNING: THIS IS A LEGAL DOCUMENT THAT AFFECTS YOUR RIGHTS. PLEASE READ ALL PAGES OF THE DOCUMENT CAREFULLY. ALL PARTICIPANTS MUST SIGN THIS FORM.
1. I understand and acknowledge that participating in the Mountain Bike Retreat/ Tour (the Retreat) organised by the company Geocentric Pty Limited (Geocentric) is a potentially dangerous activity. The Retreat may involve mountain biking, bicycle pushing, traversing isolated and remote tracks, repairing equipment and other unspecified activities. I am aware of and understand the activities I will potentially be involved in. Hazards include but are not limited to trail surfaces and obstacles, remoteness from assistance or medical aid, the strenuous nature of the Retreat including participants becoming exhausted, injured, lost, collisions, encountering vehicle traffic, actions of other participants and public, weather conditions, flood, fire, storm, fatigue, hypothermia and heat exhaustion, condition or suitability of participant’s equipment, natural and man-made objects in the environment and other unspecified hazards. I am aware of the hazards involved and acknowledge that there is always the risk of injury (including permanent injury, mental injury, paralysis and death) and damage to my property. In my judgment, I have sufficient competence, knowledge, common sense, experience, and equipment to participate in all Retreat activities in a manner safe to myself and others.
2. I certify that I am physically fit and that I have sufficiently trained for participation in the Retreat and have not been advised otherwise by a qualified medical person that I can not participate in the Retreat and that I have been given the opportunity by the organiser to attend a pre Retreat briefing session.
3. In consideration of being allowed to participate in the Retreat, I (on my own behalf and on behalf of my executors, administrators, heirs, next of kin, successors and assigns):
WAIVE, RELEASE AND DISCHARGE from any and all liability for death, disability, personal injury, property damage, property theft and all other risks, claims or actions of any kind (including breach of contract, acts of negligence to the fullest extent permitted by law) whatsoever and however occurring, together with any legal fees incurred as a result of any such claim whether it is valid or not, which I at any time had or have as a result of or in connection with, directly or indirectly, my participation in and my travelling to and from the Retreat the following person or entities: Geocentric Pty Ltd (Geocentric), Retreat sponsors/ partners, Retreat producers, community organisations, all State, Federal and Local Government authorities in which the Retreat may be staged and the owners, licensees or occupiers of any property upon which I enter and their (its) respective officers, directors, employees, independent contractors, sponsors, representatives, agents, members and volunteers, including medical and paramedical personal appointed for the Retreat;
INDEMNIFY AND HOLD HARMLESS the persons or entities mentioned in paragraph 3(a) from any and all liabilities, claims or actions (including negligence) whatever or however caused arising as a result of or in connection with, directly or indirectly, my participation in and travelling to and from the Retreat, including any claim by my (or my team’s) support crew or any person assisting me or my team;
4. I acknowledge that I am responsible for my personal possessions and equipment during the Retreat. While Geocentric will take reasonable effort and care for participants' possessions and bikes, while transporting and at accommodation, Geocentric will not be liable for any loss or damage that occurs during the retreat.
5. I accept the communications, search, rescue and medical aid arrangements put in place by the Geocentric. I understand and agree that in the first instance, I am responsible for the provision of first aid to myself and those around me. I give my consent to receive any first aid and medical treatment which may be deemed advisable in the event of accident, injury and/or illness as a result of my involvement in the Retreat and agree to pay all medical-related expenses.
6. I certify that the medical information supplied by me on the booking form is true and I consent to and authorise that information to be provided to any medical practitioner, ambulance officer or any person involved or associated with any medical treatment or assistance that may be given to me as a result of my participation in the Retreat, regardless of whether the treatment is given.
7. I agree to allow my photograph, video, multimedia or film likeness and or name to be used for any legitimate purpose by Geocentric, it’s sponsors or assigns without notification, payment or compensation.
8. I acknowledge that the Retreat arranged insurance covers me for public liability whilst participating in this Retreat. I am responsible for my personal accident insurance, travel insurance and ambulance cover.
9. I acknowledge that the Geocentric reserve the right to alter the advertised retreat activities and/or destinations if conditions warrant. I agree that the Geocentric reserve the right to cancel or postpone the Retreat due to weather conditions, natural disaster, “acts of god”, terrorism, war or any other reason so deemed by the Geocentric, and that my booking fee will be non-refundable.
10. I agree to the Geocentric General Terms and Conditions outlined on the retreat website. I agree to abide by the Retreat rules and directions of coaches, hosts and staff and I understand that my participation may be voided if through my actions or behaviour if in the opinion of the Geocentric, I break any of the rules or I bring the Retreat into disrepute. I further understand that the Geocentric reserve the right to reject any participant without having to justify their actions.
11. I certify that I will be eighteen (18) years of age or older before the Retreat starts or that I have full permission from my parent/guardian and they have read and understood the above and will co-sign below.
I have carefully read this form and understand and agree to its contents.
