BLUE MOUNTAIN LAKE LTD & BLUE MOUNTAIN STATION LTD

South Island, New Zealand

Please attach a signed copy of this release form to bookings@bluemountainstation.co.nz no less than 21 days prior to your scheduled arrival date.

ASSUMPTION OF RISK, WAIVER AND RELEASE OF LIABILITY

IN CONSIDEARTION of my being invited to participate in the activities of Blue Mountain Lake Limited and/or Blue Mountain Station Ltd, I acknowledge that I assume all risks and responsibility for the safety of my property and myself, as well as the safety and property of the persons, animals and minor who accompanies me. I accept that the activities offered by or through Blue Mountain Lake Limited and/or Blue Mountain Station Ltd, which include but are not limited to mountaineering, hunting, side-by-side use (UTV), horse trekking, firearm use, four-wheel driving, quad biking (ATV), travel (both air and ground) to, from and within the activity locations, inherently involve risks and potential hazards.

I agree to follow all instructions given by Blue Mountain Lake Limited and/or Blue Mountain Station Ltd, guides and to use any equipment supplied by Blue Mountain Lake Limited and/or Blue Mountain Station Ltd, in accordance with the guides instructions. I accept that Blue Mountain Lake Limited and/or Blue Mountain Station Ltd, reserves the right to withdraw any person(s) from the activity who in the reasonable opinion of Blue Mountain Lake Limited and/or Blue Mountain Station Ltd, is likely to endanger themselves or others. I accept that Blue Mountain Lake Limited and/or Blue Mountain Station Ltd, reserves the right to cancel any activity for any reason if it becomes concerned for my safety or the safety of any other person(s) arising from my conduct. I hereby also agree that if I am asked by Blue Mountain Lake Limited and/or Blue Mountain Station Ltd, to discontinue my participation in the contracted services and leave the land over which I am passing as a result of my conduct, I will do so immediately, and I will not hold Blue Mountain Lake Limited and/or Blue Mountain Station Ltd liable for my expenses nor seek contractual redress from Blue Mountain Lake Limited and/or Blue Mountain Station Ltd.

I certify that I am physically fit and able to participate in Real Kiwi Hunting Limited activities and I have not been advised otherwise by a qualified medical professional. I hereby assume the responsibility of my physical fitness and capacity to perform such activities. I acknowledge and agree that the use of all services and/or facilities of Blue Mountain Lake Limited and/or Blue Mountain Station Ltd in connection with such activities is at my own risk. I have disclosed to Blue Mountain Lake Limited and/or Blue Mountain Station Ltd (or will so disclose before undertaking the activities) any medical condition, previous injury or medication that I am taking.

I consent to receive any medical treatment that may be deemed necessary in the event of injury, accident or illness while undertaking Blue Mountain Lake Limited and/or Blue Mountain Station Ltd activities.

I understand that Blue Mountain Lake Limited and/or Blue Mountain Station Ltd operates in a mountain/alpine environment where certain events may result in having to stay in wilderness areas overnight.

I understand that under New Zealand law the accident compensation scheme provides only limited assistance to visitors to New Zealand who suffer personal injury. I certify to Blue Mountain Lake Limited and/or Blue Mountain Station Ltd that on arrival I shall hold prudent insurance cover as to all relevant risks, including personal injury, medical treatment and evacuation.

To the extent permitted by law I hereby RELEASE, WAIVE, DISCHARGE AND HOLD BLAMELESS Blue Mountain Lake Limited and/or Blue Mountain Station Ltd, its officers, employees and all persons, entities and contractors connected to Blue Mountain Lake Limited and/or Blue Mountain Station Ltd from any and all liability to myself, my personal representative of estate, assigns, heirs and next of kin for death, disability, personal injury (including mental injury), property damage, property theft, loss of personal equipment and all other risks, claims or actions of any kind whatever and however occurring which may arise, at any time, from or in connection with, directly or indirectly, as a consequence of me carrying out the activities of Blue Mountain Lake Limited and/or Blue Mountain Station Ltd, except to the extent caused or contributed to by any gross negligence by Blue Mountain Lake Limited and/or Blue Mountain Station Ltd and without prejudice to any rights or remedies I may have under the Consumer Guarantees Act 1993 or the Fair Trading Act 1986.

I hereby warrant and represent that I understand horses, livestock, wildlife and farm animals may be present and may be used by me to participate in the activities offered by Blue Mountain Lake Limited and/or Blue Mountain Station Ltd. I agree that Blue Mountain Lake Limited and/or Blue Mountain Station Ltd and the landowner over which land I am passing is not liable for an injury to or the death of a participant in equine activities resulting from the inherent risks of equine activities.

I hereby consent to Blue Mountain Lake Limited and/or Blue Mountain Station Ltd making, taking, collecting, retaining and using photographic images, audio or video recordings of me and/or my minor children (if applicable) undertaking the activities (hereafter the images) and making available, publishing and/or selling the images for the purpose of education, research, training, marketing, promotion and/or advertising and I acknowledge that all copyright and ownership in the same vests in Blue Mountain Lake Limited and/or Blue Mountain Station Ltd. The images may be cropped, altered, transformed or reproduced in any way, in any current or future media (including, but not limited to, print, television, cinema, internet, YouTube, signage, and offline or online social media) and I waive any right to inspect the final form of the images. I understand that I will not receive payment or any other compensation in connection with these images and the use or sale of the images and that I waive my rights of any kind that I have or may have in the images.

I hereby warrant and represent that I am of lawful age and legally competent to sign this RELEASE and that I have signed this RELEASE as my own free act. I agree that the terms of this RELEASE are binding on myself, my successors, my executors, administrators, heirs, next of kin and assigns and that should I or any of my successors, executors, administrators, heirs, next of kin or assigns assert a claim in contravention of this waiver the asserting party shall be liable for and indemnifies Blue Mountain Lake Limited and/or Blue Mountain Station Ltd for all the expenses (including legal fees on a solicitor client basis) incurred by it in defending the claim.

I further warrant and represent that I shall comply with all policies and obey all rules and regulations of Blue Mountain Lake Limited and/or Blue Mountain Station Ltd, including those outlined herein.

CAUTION – THIS IS A RELEASE FORM. I HAVE FULLY INFORMED MY SELF OF THE CONTENTS OF THIS RELEASE OR LIABILITY AND ASSUMPTION OF RISK BY CAREFULLY READING IT BEFORE SIGNING IT.

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