ASSUMPTION
OF RISK AND RELEASE FROM LIABILITY AGREEMENT
I hereby acknowledge the hunting trip,
fishing trip, sightseeing trip, camping trip, photography or other
escorted tour that I am participating in organized by Doctari Safaris
Ltd its employees, agents and associates, involves risks and
dangers which are inherent to hunting and wilderness travel, including
but not limited to possession of firearms and ammunition; dangers of
being exposed to the elements of nature; dangers of being in areas
where hunters could be present; dangers of being and traveling to
remote wilderness areas and dangers arising from accidents, acts of
God, illness, forces of nature, and riot or insurrection.
I also accept and assume all risks of
personal injury or death or loss or damage to property while
participating in the said escorted excursion, including negligence
of Doctari Safaris Ltd and their employees, agents, and
associates.
I acknowledge that I have read the foregoing,
and understand that I am relinquishing any and all rights and that I,
my heirs, executors or administrators, might otherwise have
against Doctari Safaris Ltd and its employees, agents and
associates and that I do so voluntarily.
I acknowledge that this Agreement and any
rights, duties, and obligations between the parties to this Agreement
shall be governed solely in accordance with the laws of New
Zealand and no other jurisdiction; and any litigation involving
the parties to this Agreement shall be brought solely
within New Zealand and shall be within the exclusive
jurisdiction of the Courts of New Zealand.
I acknowledge that in entering this
Agreement, I am not relying on any oral or written representations or
statements made by Doctari Safaris Ltd, its employees, agents and
associates, regarding the safety of wilderness travel.
I confirm that I have read and understood all
parts of this agreement prior to signing it.
Signed this _______ day of ________________,
20____
WITNESS
SINGNATURE
CLIENT SIGNATURE
__________________________
_____________________________
Witness
Client
____________________________
_____________________________
Witness
name in
print
Client name in print
____________________________
Witness address