Free Zipline Waiver Template

•Participant full name: ______________________________

•Date of birth: ____________________ Age: __________

•Address: ______________________________________________

•Phone: ____________________ Email: __________________

•Emergency contact name: ____________________________

•Emergency contact phone: ___________________________

•Date of zipline and aerial adventure activities: ____________________

I am requesting to participate in zipline and aerial adventure activities operated by [Business Name] ("the Company"). I understand this activity takes place at height, that I will be secured by a harness system, and that I must actively follow launching and braking instructions.

I confirm that my participation is entirely voluntary, that no one has pressured me to take part, and that I may stop participating at any time if I believe conditions are unsafe or beyond my ability.

I understand that zipline and aerial adventure activities involves inherent risks that cannot be eliminated regardless of the care taken by the Company, and that those risks include, but are not limited to:

•Falls from height, including during transitions between platforms

•Harness, helmet, trolley, cable, or braking system failure

•Impact with the braking system, platforms, trees, or terrain at the landing

•Stalling mid-line and requiring a staff-assisted rescue at height

•Rope burn, pinching, and bruising from cables, straps, and hardware

•Panic, vertigo, or a fear response while suspended at height

•Weather conditions including wind, lightning, and rain during the course

•Serious bodily injury, permanent disability, paralysis, and death

I have read this list, I understand it, and I knowingly and voluntarily accept every one of these risks, including risks that may arise from the negligence of others or that are not specifically listed above.

I agree to follow all posted rules, safety briefings, and instructions given by [Business Name] staff, including:

•Never touching the cable, trolley, or brake unless instructed

•Maintaining the body position demonstrated during the safety briefing

•Confirming you are within the posted minimum and maximum weight limits

•Keeping helmet and harness fastened as fitted by staff for the whole course

•Launching only when the guide gives a clear signal

I understand that failing to follow the rules may result in my removal from the activity without a refund.

I agree to inspect any equipment provided to me before use and to immediately report anything that appears damaged, worn, or unsafe. If I choose to use the equipment, I am confirming that I accept it in its current condition.

I accept responsibility for the reasonable cost of repair or replacement of equipment that is lost, stolen, or damaged beyond normal wear while it is in my care.

I confirm that I am not under the influence of alcohol, cannabis, illegal drugs, or any medication that impairs judgment, coordination, or reaction time, and I will not become so during the activity.

I understand the Company may refuse or end my participation, without refund, if staff believe I am impaired.

I confirm that I am physically able to take part in this activity and that I have disclosed any medical condition, injury, allergy, pregnancy, or medication that could affect my safety or the safety of others.

Conditions to disclose: ______________________________________________

In the event of an injury or medical emergency, I authorize the Company to arrange first aid, emergency transport, and medical treatment on my behalf, and I accept financial responsibility for the cost of that care.

I understand that weather, water levels, wind, visibility, and other natural conditions can change quickly and may make the activity more difficult or hazardous.

I agree that the Company may delay, shorten, reroute, or cancel the activity for safety reasons, and I accept the Company's published cancellation and refund policy for those situations.

To the fullest extent permitted by the laws of [State], I release, waive, and discharge [Business Name], its owners, officers, employees, contractors, volunteers, agents, and property owners (together, "the Released Parties") from any and all claims, demands, damages, costs, and causes of action of any kind arising out of my participation in this activity, including those caused by the ordinary negligence of the Released Parties.

I agree to indemnify and hold the Released Parties harmless from any claim brought by me, by anyone acting on my behalf, or by a third party as a result of my conduct during the activity.

This release is binding on me, my heirs, my personal representatives, and my estate.

I confirm that I am the parent or legal guardian of the minor named below and that I have full legal authority to sign this agreement on the minor's behalf.

•Minor name: ____________________________ Date of birth: ______________

•Minor name: ____________________________ Date of birth: ______________

•Minor name: ____________________________ Date of birth: ______________

I have explained the risks described above to the minor in terms the minor can understand. I accept every term of this agreement on the minor's behalf, I authorize emergency medical care for the minor, and I agree to indemnify the Released Parties against any claim brought by or on behalf of the minor.

I have read this entire agreement. I understand that I am giving up substantial legal rights, including the right to sue. I am signing it freely, without inducement, and I intend it to be as broad and inclusive as the law allows. If any part of this agreement is found unenforceable, the remaining parts stay in full force.

•Participant signature: ______________________________ Date: ____________

•Printed name: ______________________________________

•Parent/guardian signature (if participant is under 18): ______________________________ Date: ____________

•Printed name of parent/guardian: ______________________________