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Safety Waiver Form
"I need a Safety Waiver Form for my new rock climbing facility in Jakarta, including specific provisions for equipment usage and a section for parental consent, as we'll be offering classes to participants aged 12 and above starting March 2025."
1. Parties: Identification of the service provider/facility/company and the participant/customer signing the waiver, including full legal names and relevant contact details
2. Background: Brief description of the activity or service being provided and general context for why the waiver is necessary
3. Definitions: Clear definitions of key terms used in the waiver, including 'Activities', 'Risks', 'Injury', and other relevant terms
4. Risk Acknowledgment: Detailed description of the potential risks and dangers associated with the activity
5. Voluntary Participation: Statement confirming that participation is voluntary and participant is aware of the risks
6. Waiver and Release: The core waiver language releasing the provider from liability for specified risks and injuries
7. Medical Declaration: Participant's confirmation of physical fitness and disclosure of relevant medical conditions
8. Emergency Contact: Space for participant to provide emergency contact information
9. Governing Law: Specification that Indonesian law governs the waiver and jurisdiction for disputes
10. Execution: Signature blocks, date, and witness provisions
1. Photo/Video Release: Optional section for consent to use photographs or videos of the participant, relevant for activities that may involve marketing or documentation
2. Equipment Usage: Additional section when the activity involves use of specific equipment, detailing proper use and associated risks
3. Parent/Guardian Consent: Required only when the participant is under 18 years of age or legally incompetent
4. Insurance Declaration: Optional section regarding participant's insurance coverage and acknowledgment of insurance requirements
5. Group Activity Provisions: Additional terms for activities involving group participation or team activities
6. Translation Declaration: Required when the waiver is provided in multiple languages, confirming which version prevails
1. Schedule A - Activity Description: Detailed description of the specific activities covered by the waiver
2. Schedule B - Safety Rules and Procedures: List of safety rules, procedures, and protocols that must be followed
3. Schedule C - Equipment Checklist: List of required safety equipment and proper usage instructions
4. Appendix 1 - Emergency Procedures: Document outlining emergency protocols and procedures
5. Appendix 2 - Medical Information Form: Detailed medical information form for participant completion
Authors
Agreement
Claims
Company
Emergency Contact
Equipment
Facilities
Force Majeure
Hazards
Indemnity
Injury
Instructor
Liability
Medical Condition
Minor
Negligence
Parent/Guardian
Participant
Personal Information
Premises
Release
Risk
Safety Equipment
Safety Instructions
Safety Protocols
Service Provider
Staff
Waiver
Warning Signs
Witness
Liability Release
Voluntary Participation
Medical Declaration
Emergency Authorization
Safety Compliance
Equipment Usage
Representation and Warranties
Indemnification
Force Majeure
Photo/Video Release
Data Protection
Governing Law
Dispute Resolution
Severability
Personal Information
Assumption of Risk
Guardian Consent
Insurance
Term and Termination
Tourism and Recreation
Sports and Fitness
Adventure Sports
Education and Training
Entertainment
Health and Wellness
Manufacturing
Construction
Event Management
Hospitality
Transportation
Maritime Activities
Legal
Risk Management
Operations
Health & Safety
Customer Service
Compliance
Training & Development
Events & Recreation
Facility Management
Quality Assurance
Risk Manager
Legal Counsel
Operations Manager
Safety Officer
Compliance Manager
Activity Instructor
Facility Manager
Event Coordinator
Training Manager
Customer Service Manager
Health and Safety Coordinator
Recreation Director
Tour Guide
Sports Coach
General Manager
Business Owner
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