Waiver of Liability

Daintree Experience Pty Ltd

I, ____________________________________________________________________

(Full names of adults)

Contact Address:

Phone Number:

Email:

Acknowledge that I have been given a safety briefing on the dangers of bush hiking and swimming in a natural creek.

I accept that these activities involve a risk and can result in injury.

I accept the risks involved to myself, and my personal property and am responsible for my own actions and involvement.

I also understand the dangers of undertaking these activities under any influence of drugs or alcohol, and release Daintree Experience Pty Ltd from any injury, loss or damage suffered by me or my dependants as a result of drugs or alcohol.

I agree that if I suffer any injury or illness I agree that the Business may provide or arrange evacuation, first aid and medical treatment at my expense.

I agree to report all accidents, injuries or loss or damage sustained by me to the Business before I leave the site on which the Activity is performed.

I agree to release and hold harmless Daintree Experience Pty Ltd, its servants, employees and agents from and against any liability arising out of any injury, loss, damage or death caused to me or my property or any other person arising from or in connection with my participation in the Activity.

I also make this statement for my children/dependants under 18 years of age:

____________________________________________________________________

(Full names of children)

Medical Disclosure: (fully set out the participants’ medical or other conditions that may be relevant to the performance of these activities)

____________________________________________________________________

I ACKNOWLEDGE THAT I HAVE READ THIS FORM AND THAT IT HAS BEEN EXPLAINED TO ME. I FULLY UNDERSTAND ITS TERMS AND THAT THE MINORS AND I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT. I SIGN THE DOCUMENT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT MADE TO ME.

Signature__________________________________________________________

Date_______________________________