Snowtubing for Ninth Graders on Tuesday February 5!!

January 9, 2013

The ninth grade class will be going snowtubing at Black Mountain of Maine on Tuesday February 5. We will leave from the bell tower at 5:30pm and return around 9:45pm. We will have a pizza feast at Black Mountain before tubing. All students need to wear a helmet while tubing.

Here is the description of tubing from Black Mountain of Maine:

Snow Tubing at The Edge Tubing Park is the perfect way to experience the thrill of speed on snow. There’s no need for special equipment…just warm clothes and a little courage, and anyone can enjoy the thrill of sliding down one of Black Mountain’s groomed tubing runs. A 300-foot handle tow transports you and your tube up the hill to your choice of chutes.

Parents: Please download the release form either from the info server or from Black Mountain. (The form should be up soon.) or use the form below.

Return the Release Form to Gould Academy with attention to Brett Shifrin by mail, scan or fax.

For office use only Time: ________________ a.m. p.m. Group: _________________
SNOW TUBING
RELEASE OF LIABILITY
Please fill in all information, print as neatly as possible!
Name of Tuber:(Last) ____________________________ (First) ____________________

Age: _______
Address: (Street)____________________________________________________________________

(Town) _______________________________________ (State) ______________________

(Zip) ___________ Phone: ( ) ________________________

I accept for use, as is, the equipment listed on this form and accept full responsibility for its care while it is in my possession. I agree to hold harmless and indemnify Black Mountain of Maine and its owners, agents and employees, as well as the equipment manufacturers and distributors, for all loss or damage I may cause to this equipment, except for reasonable
wear and tear.

I agree to hold harmless and indemnify Black Mountain of Maine and its owners, agents and employees, as well as the equipment manufacturers and distributors, for any and all loss or damage I may cause to person or property while engaged in snow tube related activities. This includes, but is not limited to, any and all claims for personal injury, death and/or property
damage that may in any way arise out of the use of the equipment, or any equipment, regardless of whether such loss or damage be caused to myself or to others.

I hereby release Black Mountain of Maine and its owners, agents and employees, as well as the equipment manufacturers and distributors, from any and all liability for damage and personal injury to me or my property resulting from their own acts of negligence. I understand that Black Mountain of Maine and its owners, agents and employees, as well as the
equipment manufacturers and distributors, are not responsible for the consequences of their own negligence, that is, their failure to use reasonable care in any way in the operation of this rental center and ski mountain, as well as in the installation, maintenance selection, adjustment and use of this rental equipment. I acknowledge that I am freely and expressly assuming and accepting any and all risks of property damage, personal injury or death as the user of this equipment.

I understand and am aware that snow tubing is a HAZARDOUS ACTIVITY. I understand that snow tubing and the use of snow tubes involves a risk of injury to any and all parts of my body. I hereby freely and expressly assume and accept responsibility for any and all risks of injury or death while participating in this activity.

I understand and am aware that the snow tube being furnished could be HAZARDOUS to the users well-being while snow tubing.

I have read the above paragraphs and fully understand them. I have made no misrepresentation to Black Mountain of Maine regarding my name, address, or age.

This agreement is governed by the applicable law of Maine. If any part of this agreement is determined to be unenforceable, all other parts shall be given full force and effect.

I agree that there have been no warranties, expressed or implied, which have been made to me which extend beyond the description of the equipment listed on this form. I, the undersigned, acknowledge that I have carefully read this agreement
and release of liability and I understand its contents. I understand that my signature below expressly waives any right I may have to sue Black Mountain of Maine for injuries and damages.

USER’S SIGNATURE: ___________________________________ DATE: _____________________

PARENT’S SIGNATURE: ________________________________ DATE: _____________________
(if user is a minor)

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