Liability Agreement E-Bike Tour (Kalapana Beach and Volcanoes National Park)

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Kalapana Beach &

Volcanoes National Park E-Bike Tour

Liability Agreement

& Instructional Safety Video

This General Release of Liability ("Release") is made on Date:(Required)

And is by and between Releasor: (your name)(Required)

First Last

Your Mailing Address:(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Company: Volcano Ohana LLC and its representatives, employees, and contractors, with a mailing address: PO Box 464, 17-588 Volcano Rd, Kurtistown, HI 96760 (“Company”).

ii. LIABILITY EVENT: Under the terms of this Agreement and sufficiency of which is hereby acknowledged, I do hereby release and forever discharge the Company of any liability, in the occurrence of any liability event. Company includes their agents, employees, contractors, successors and assigns, and their respective heirs, personal representatives, affiliates, successors, and all persons, firms or corporations liable or who might be claimed to be liable, whether or not herein named. None of whom admit any liability to the undersigned, but all expressly denying liability, from all claims, demands, damages, actions, causes of action or suits of any kind or nature whatsoever. Any parties which now have or may hereafter have, arising out of or in any way relating to any and all injuries and damages of any and every kind, to both person and property, and also any and all injuries and damages that may develop in the future, as a result of or in any way relating to the Liability Event.(Required)

Initials

iii. RELEASE OF MEDIA USAGE: Any photos or videos that are taken are for the sole use of the Company. The Company is allowed to use photos or videos that the Releasor may be in for the Company’s sole marketing purposes with no obligation for monetary payment to Releasor.(Required)

Initials

IV. RESPONSIBLE FOR DAMAGES: In the event the Releasor causes any damage or theft to property provided by the Company, it will be the responsibility of the Releasor to cover the costs of repair or full costs of replacement for items damaged or stolen under all circumstances, intentional or accidental.(Required)

Initials

V. CONDITION TO PARTICIPATE: Each participant in activities led by the Company must be deemed competent to participate in the activity by the company representative/activity leader. Competency includes, but is not limited to, the mental and/or physical ability to operate equipment necessary for the activity. No participant will be allowed to participate in the activity if they are reasonably suspected by a company representative/activity leader of being under the influence of any drug, alcohol, or medication, or if the participant is deemed unable to physically operate the related equipment. Should the participant be deemed to be physically and/or mentally incompetent to participate in the chosen activity, the Company will not refund any fee paid for the activity. I also agree to forfeit credit card chargebacks for any reason.(Required)

Initials

VI. HOLD HARMLESS: If the Releasors actions cause damage or injury to self or any other person or property, Releasor agrees to hold the Company harmless from any liability and agree to indemnify them from all costs, fees and/or judgments resulting from such claims or lawsuits relating to Releasors actions.(Required)

Initials

VII. BINDING EFFECT: This Release shall be binding upon the undersigned, and their respective heirs, executors, administrators, personal representatives, successors and assigns.(Required)

Initials

Releasor's Name(Required)

First Last

Releasor's Signature(Required)

Phone(Required)

Email(Required)

Minor Child's Name

Minor Child's Age

Minor Child's Name

Minor Child's Age

SAFETY VIDEO | Please watch our E-Bike Safety Video here, then come back and finish the form: SAFETY VIDEO.

Did you watch The Safety Video?(Required)

Yes

Kalapana Beach &

Volcanoes National Park E-Bike Tour

Liability Agreement

& Instructional Safety Video

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