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Acknowledgement Of Risk Form
"I need an Acknowledgement of Risk Form for my bungee jumping operation in Queenstown, New Zealand, that covers multiple jump locations and includes specific provisions for international tourists and photo/video consent."
1. Participant Information: Collection of participant's full name, contact details, and emergency contact information
2. Activity Description: Clear description of the activity or activities covered by the acknowledgment
3. Risk Disclosure: Detailed outline of potential risks and hazards associated with the activity
4. Participant Acknowledgment: Express acknowledgment by the participant that they understand and accept the risks
5. Safety Rules and Instructions: Mandatory safety procedures and instructions that must be followed
6. Fitness Declaration: Participant's declaration of physical fitness and ability to participate
7. Release and Indemnity: Legal release of liability within the bounds of New Zealand law
8. Signature Block: Space for participant (and/or guardian) signature, date, and witness signature if required
1. Medical Disclosure: Section for declaring relevant medical conditions or medications - used when activity has specific health requirements
2. Photography Consent: Permission to take and use photographs - included when activity may involve photography or media recording
3. Equipment Declaration: Acknowledgment of equipment requirements and conditions - used when activity involves specific equipment
4. Guardian Consent: Additional section for parental/guardian consent - required when participants may be under 18
5. Group Activity Acknowledgment: Additional terms for group activities - used when activity involves group participation
6. Vehicle Use: Special conditions for use of vehicles - included when activity involves vehicle operation
1. Schedule A: Detailed Risk Description: Comprehensive list of specific risks associated with each aspect of the activity
2. Schedule B: Safety Equipment Requirements: Detailed list of required safety equipment and proper usage instructions
3. Schedule C: Emergency Procedures: Step-by-step emergency protocols and contact information
4. Appendix 1: Medical Questionnaire: Detailed health questionnaire for activities requiring medical clearance
5. Appendix 2: Safety Briefing Checklist: Checklist confirming participant has received and understood safety briefing
Authors
Acknowledgment
Associated Risks
Authorized Personnel
Company
Compensation
Emergency Contact
Emergency Procedures
Equipment
Facilities
Guardian
Hazard
Health and Safety Requirements
Incident
Indemnity
Instructor
Medical Condition
Minor
Participant
Personal Information
Premises
Release
Risk
Safety Briefing
Safety Equipment
Service Provider
Supervisor
Venue
Waiver
Risk Disclosure
Activity Description
Safety Protocols
Medical Declaration
Emergency Procedures
Liability Release
Indemnification
Participant Obligations
Equipment Usage
Compliance Requirements
Acknowledgment and Acceptance
Health and Safety
Insurance
Photography Consent
Data Protection
Governing Law
Witness Requirements
Guardian Consent
Medical Emergency Authorization
Adventure Tourism
Sports and Recreation
Education
Fitness and Wellness
Entertainment
Construction
Manufacturing
Research and Development
Healthcare
Events Management
Outdoor Education
Transportation
Legal
Risk Management
Operations
Health and Safety
Compliance
Customer Service
Training and Development
Events
Program Management
Field Operations
Risk Manager
Safety Officer
Operations Manager
Legal Counsel
Compliance Officer
Activity Coordinator
Instructor
Tour Guide
Facility Manager
Training Coordinator
Events Manager
Program Director
Health and Safety Manager
Adventure Sports Guide
Recreation Coordinator
Educational Administrator
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