BALLOON ADVENTURES
6631 Michael Drive, Cincinnati, Ohio 45243
513-984-2404
WAIVER, RELEASE and HOLD HARMLESS AGREEMENT
I ________________ _________________, the undersigned do hereby voluntarily agree to become a passenger in a hot air balloon owned and/or operated by Balloon Adventures. I am aware of no mental or physical disorders that would place me at risk during my flight.
I agree to comply with and follow explicitly the directions of instructions of the pilot at all times.
I further agree that I will indemnify, save and hold harmless Balloon Adventures and any of its employees or persons operating and/or crewing on said hot air balloon from any and all losses, claims, actions or proceedings for any injuries to persons, or injurious results or damages to property, suffered during the flying of said hot air balloon or while said hot air balloon is on the ground. This agreement extends to any form of transportation to and/or from launch and landing locations of said hot air balloon in any vehicle owned/operated by Balloon Adventures.
In voluntarily agreeing to participate in a hot air balloon ride under this Agreement, I understand that this Agreement extends to any personal injuries, injurious results, damages or losses which I, myself, or any member of my family may experience or sustain while riding said hot air balloon or while doing anything incidentally thereto. I covenant for myself, my estate executor, heirs and assigns, and for any of my minor children which ride in said hot air balloon, their estates’ executors, heirs and assigns, neither to file suit nor to initiate claim procedure in respect to any personal injuries, property damages or losses or I or my children may experience or sustain arising directly or indirectly out of riding said hot air balloon or doing anything incidental thereto.
I freely assume all risks, hazards and losses, which may befall me in connection with my hot air balloon ride. I acknowledge that I am fully aware that riding said hot air balloon and doing anything incidental thereto is potentially dangerous and mar result in personal injury or property injury to myself and/or children. I have entered into this Agreement freely and voluntarily without any inducement, promises, or representations being made by Balloon Adventures, its employees, or persons operating or crewing for said hot air balloon to the safety of the hot air balloon or otherwise. This agreement must be signed in the presence of a Balloon Adventures pilot or representative.
Full Name_________________________________________________________________
Address_______________________ City____________________ ST____ ZIP__________
Birth Date________________ Email Address____________________________________
Height___________________ Weight__________________________________________
Signature of Parent or Guardian________________________________________________
Parent/Guardian signing for___________________________________________________
PASSENGER SIGNATURE__________________________________________________
WITNESS_____________________________________________________________