In consideration of the services of Papua New Guinea Trekking Adventure, their agents, owners, officers, volunteers, participants, employees, and all other persons or entities acting in any capacity on their behalf (hereinafter collectively referred to as “PNGTA”), I hereby agree to release and discharge PNGTA, on behalf of myself, my children, my parents, my heirs, assigns, personal representative and estate as follows:

1. I acknowledge that trekking and mountaineering entails known and unanticipated risks which could result in physical or emotional injury, paralysis, death, or damage to myself, to property, or to third parties. I understand that such risks simply cannot be eliminated without jeopardising the essential qualities of the activities.

   The risks include, among other things: the hazards of walking on uneven terrain and slips and falls; being struck by rock fall, icefall or other objects dislodged or thrown from above; the use of climbing ropes and equipment; the forces of nature, including lightning, weather changes, and risks of falling off the rock, mountain or into a crevasse; risks of exposure to insect bites; the risk of altitude and cold including hypothermia, frostbite, acute mountain sickness, cerebral and pulmonary edema; my own physical condition, and the physical exertion associated with this activity.

   Furthermore, PNGTA guides have difficult jobs to perform. They seek safety, but they are not infallible. They might be unaware of a participant’s fitness or abilities. They might misjudge the weather, the elements, or the terrain. They may give inadequate warnings or instructions, and the equipment being used might malfunction.

2. I expressly agree and promise to accept and assume all of the risks existing in this activity. My participation in the activity is purely voluntary, and I elect to participate in spite of the risks.
3. I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless PNGTA from any and all claims, demands, or causes of action, which are in any way connected with my participation in this activity or my use of PNGTA’s equipment or facilities, including any such Claims which allege negligent acts or omissions of PNGTA.
4. Should PNGTA or anyone acting on their behalf, be required to incur attorney’s fees and costs to enforce this agreement, I agree to indemnify and hold them harmless for all such fees and costs.
5. I certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating, or else I agree to bear the costs of such injury or damage myself. I further certify that I have no medical or physical conditions, which could interfere with my safety in this activity, or else I am willing to assume – and bear the costs of – all risks that may be created, directly or indirectly, by any such condition.
6. In the event that I file a law suit against PNGTA I agree to do so solely in the country of Papua New Guinea, and further agree that the substantive law of that country shall apply in that action without regard to the conflict of law rules of that country.

By signing this document, I acknowledge that if anyone is hurt or property is damaged during my participation in this activity, I may be found by a court of law to have waived my right to maintain a lawsuit against PNGTA on the basis of any claim from which I have released them herein.

I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by its terms.

Signature of Participant:_______________________

Print Name:_______________________

Address:___________________________

__________________________

Phone:__________________  :Date: ___ / ___ / 200_

PARENTS OR GUARDIAN’S ADDITIONAL INDEMNIFICATION
(Must be completed for participants under the age of 18)

In consideration of_______________(print minor’s name) (“Minor”) being permitted by PNGTA to participate in its activities and to use its equipment and facilities, I further agree to indemnify and hold harmless PNGTA from any and all Claims which are brought by, or on behalf of Minor, and which are in any way connected with such use of participation by Minor.

Parent or Guardian:_______________________

Print Name:____________________

Date: ___ / ___ / 200_

CONTACT DETAILS: (675) 325 1284 (675) 686 6171 Fax (675) 323 0984,
Email: info@pngtrekkingadventures.com

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