R7, 2017-06-16

NOTE: Island Flyboard does not accept paper waivers, please submit electronically.

Island Flyboard

Assumption of Risk and Permission Form

BY SIGNING THIS DOCUMENT YOUR AND YOUR CHILD’S LEGAL RIGHTS MAY BE AFFECTED

PLEASE READ CAREFULLY!


Completion of this form is required for your child’s participation in the Adventure Activity Participation in the activity described in the attached Risk Assessment Summary (the “Adventure Activity”) carries certain risks, dangers, hazards and liabilities to all participants. These include, but are not limited to, personal injury, death, property damage, expense and other loss, delay or inconvenience, and cancellation or curtailment in the Adventure Activity, all as more fully described in the Risk Assessment Summary. You are required to accept these and other risks as a condition of your child participating in the Adventure Activity.

The Risk Assessment Summary is intended to enable you and your child to better understand and accept the various risks involved in the Adventure Activity. It is your responsibility to weigh and evaluate the risks on behalf of your child.

Your child is under no obligation to participate in the Adventure Activity and may choose not to participate at any time after you sign this form.

I/we have read the Risk Assessment Summary for this Adventure Activity

Click to Initial
I/We have read the Risk Assessment

I/we have reviewed Risk Assessment Summary for this Adventure Activity with my/our child and have instructed our child to listen to and follow the instructions provided pertaining to the Adventure Activity

Click to Initial
I/We have reviewed the Risk Assessment

I/We are aware that the Adventure Activity involves many risks, dangers and hazardsincluding but not limited to those referred to in the Risk Assessment Summary and

  • accept the mode of transportation for the Adventure Activity as described in the Risk Assessment Summary and the itinerary for the Adventure Activity;
  • freely and voluntarily assume the risks, dangers and hazards inherent in the Adventure Activity, including all those described in the Risk Assessment Summary and the possibility of personal injury or death of my child, property damage, loss, expense or inconvenience; and
  • being satisfied that the Adventure Activity is suitable for my/our child, give my/our permission and consent for him/her to participate in the Adventure Activity.

Click to Initial
I/We are aware the Adventure Activity involves risks

Click to Sign
Signature of Parent/Guardian

Click to Sign
Signature of Parent/Guardian

Click to Sign
Witness Signature


Both Parents/Guardians (if applicable) must initial sign this form. Thank you