Day Pass – Family 1 Passholder(s)2 Waiver3 Order Total Day Pass FamilyQuantity and Passholder NamesDate Date Format: MM slash DD slash YYYY Day Pass - FamilyIncludes up to 2 Adults and 4 Youth Price: $ 25.00 CAD Adult Pass Quantity*012Youth Pass Quantity01234Adult Passholder 1*Adult Passholder 2*Youth Passholder 1Youth Passholder 2*Youth Passholder 3*Youth Passholder 4*Subtotal $ 0.00 CAD Kivi Park WaiverAdult Passholders are signing waiver on behalf of Youth Passholders.Consent*In consideration of being allowed to participate in any way at Kivi Park, program, related events and activities, the undersigned acknowledges, appreciates, and agrees that; 1. The risk of injury from the activities involved at Kivi Park is significant, including the potential for permanent paralysis and death, and while particular rules, equipment and personal discipline may reduce this risk, the risk of serious injury does exist; and, 2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and, 3. I willingly agree to comply with the stated and customary terms and conditions for participation. If however I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and, 4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release and hold harmless Kivi Park, their officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event with respect to any and all injury, disability, death, or loss or damage to person or property, whether arising from the negligence of the releases or otherwise. 5. I understand that I am not allowed to participate in any activity at Kivi Park until I have signed this waiver. 6. I have read this release of liability and assumption of risk agreement, fully understand its terms, understand that I may have given up substantial rights by signing it, and sign it freely and voluntarily without any inducement. 7. I acknowledge that “Kivi Park” is a facility owned and operated by the CLIFFORD AND LILY FIELDING CHARITABLE FOUNDATION in whose favour this Waiver is directed. All passholders have had sufficient opportunity to read this entire document. All passholders have read and understood it, and agree to be bound by its terms.Adult Passholder 1 - Signature*Draw your signature below:Adult Passholder 2 - Signature*Draw your signature below: Order TotalEmail for receipt and confirmations* Subtotal $ 0.00 CAD If you have a coupon code, please enter it here: HST $ 0.00 CAD Total $ 0.00 CAD CommentsThis field is for validation purposes and should be left unchanged.