Release, Hold Harmless and Indemnification Agreement Between

_______________________________ and Spain Development LLC, d/b/a Zipline at Haile Quarry.

(Print your name here)

1. Please read each clause below carefully and initial each one, only if true.

The Zipline Park can be a dangerous place, these rules are for your safety.

I hereby swear and affirm that I am 18 years of age or older:_______ (Initial)

I hereby swear and affirm I weigh not less than 70 lbs. or no more than 275 lbs.:_______ (Initial)

I hereby swear I am in a sound state of mind: ________ (Initial)

I hereby swear I am not Pregnant and am physically fit for outdoor activities: _______ (Initial)

2. Staff members reserve the right to deny me access to the zipline park if I fail to meet all of the requirements listed above, if I do not obey staff member instructions and/or if I behave in a manner considered dangerous or reckless; this judgment being solely reserved for park staff.

If ejected from the park by staff, no refunds will be given and further visits to the park will be prohibited.

I have read and understand these rights and responsibilities: ______ (Initial)

3. I do hereby affirm and acknowledge the risks inherent in Ziplining. These risks may result in serious injury or death.

They apply but are not, limited to, the following:

● Mishandling of equipment.

● Collision with environmental objects, be they natural or artificial.

● Collision with persons either on or off the zipline.

● Falling.

● Drowning.

● Inclement weather.

● Acts of God.

I have read and understand these risks exist and I still want to participate: ______ (Initial)

4. I hereby affirm and acknowledge the emotional risks inherent in Ziplining. These risks may induce psychological trauma. These risks apply but are not limited to:

● Inadvertent touching or skin contact

● Fear of heights

● Any and all other psychological factors

I have read and understand these risks exist and I still want to participate: ______ (Initial)

5. I am aware that the Zipline at Haile Quarry Park is home to a very broad variety of flora and fauna, some of which is poisonous and/or deadly or dangerous to humans. These include Coral snakes (poisonous) and alligators living in the reservoir. By signing this I am affirming that I am aware that under Florida law Statute 372.667, I am forbidden from feeding and/or interacting with the alligator(s). Doing so will result in immediate expulsion and permanent ban from Haile Quarry as well as a possible police conviction.

I have read and understand these risks and responsibilities: ______ (Initial)

6. The perimeter surrounding Haile Quarry belongs to several different limestone mining companies that frequently conduct Blasting and Dragline operations on their property. These mining operations can be lethal if caught in the blast area and/or heavy machinery area, DO NOT leave the Haile Quarry property, this will result in immediate arrest.

7. I, ________________, affirm on behalf of myself, my heirs, assigns, successors, executors, ____(print name here) administrators, and legal representatives that I do voluntarily agree to indemnify, and hold harmless Zipline at Haile Quarry, Spain Development LLC, and its owners, investors, vendors, associates and employees from any and all possible damages that might be sustained while on park premises.

I have read and understand this indemnification clause: ______ (Initial)

8. I intend that this Agreement be enforceable to the fullest extent provided by law, and in the event that any of the terms set forth in this Agreement or any word, phrase, clause, sentence, part, or provision should be found to be illegal, void, or unenforceable for any reason, such word, phrase, clause, sentence, part, or provision shall be modified or deleted and said illegal or invalid part, term or provision shall be deemed not to be a part of this Agreement and all other valid provisions shall survive and continue to bind the parties.

I have read and understand this severability clause: ______ (Initial)

9. This Agreement shall be interpreted and enforced according to the laws of the State of Florida, any claim or action relating to, or arising out of, this Agreement, or the recreational activities to which it applies, may be brought only in a court located in, Alachua County, Florida; and only after participation in a presuit mediation conference, which is a prerequisite condition to bringing suit.

I have read and understand this venue selection: ______ (Initial)

10. I hereby authorize any medical treatment deemed necessary in the event of any injury or illness to myself while partaking in any activity at the Zipline park.

I have read and understand these risks and authorize care: ______ (Initial)

Full name of Parent/Guardian of minor participant:

First Name: _________________________ MI:I______ Last Name:____________________________

DOB:_______________Age:______

Address:________________________________________

City/State/Zip:_______________________ Telephone:______________________

Email:___________________________________________

Height:____________________ Weight:____________________

________________________________________________ _______________________

Signature Date:

If you are bringing a minor to the park with you to ride on the zipline you also need to fill out this section below for EACH MINOR CHILD.

NOTICE TO THE MINOR CHILD’S NATURAL GUARDIAN

READ THIS FORM COMPLETELY AND CAREFULLY AS IT WILL ONLY BE STATED ONCE FOR ALL MINOR FORMS BELOW.

YOU ARE AGREEING TO LET YOUR MINOR CHILD ENGAGE IN A POTENTIALLY DANGEROUS ACTIVITY - ZIPLINE.

YOU ARE AGREEING THAT, EVEN IF SPAIN DEVELOPMENT LLC DBA AS ZIPLINE AT HAILE QUARRY USES REASONABLE CARE IN PROVIDING THIS ACTIVITY, THERE IS A CHANCE YOUR CHILD MAY BE SERIOUSLY INJURED OR KILLED BY PARTICIPATING IN THIS ACTIVITY BECAUSE THERE ARE CERTAIN DANGERS INHERENT IN THE ACTIVITY, WHICH CANNOT BE AVOIDED OR ELIMINATED. BY SIGNING THIS FORM YOU ARE GIVING UP YOUR CHILD’S RIGHT AND YOUR RIGHT TO RECOVER FROM SPAIN DEVELOPMENT LLC DBA AS ZIPLINE AT HAILE QUARRY IN A LAWSUIT FOR ANY PERSONAL INJURY, INCLUDING DEATH, TO YOUR CHILD OR ANY OTHER DAMAGE THAT RESULTS FROM THE RISKS THAT ARE A PART OF THIS ACTIVITY. YOU HAVE THE RIGHT TO REFUSE TO SIGN THIS FORM, AND SPAIN DEVELOPMENT LLC DBA AS ZIPLINE AT HAILE QUARRY HAS THE RIGHT TO REFUSE TO LET YOUR CHILD PARTICIPATE IF YOU DO NOT SIGN THIS RELEASE.

Release, Hold Harmless and Indemnification Agreement Between

____________________________ and Spain Development LLC d/b/a Zipline at Haile Quarry.

I hereby agree that all of the risks and responsibilities outlined above in the Adult Waiver apply here as well, and are incorporated into this waiver for the Minor as well as for the guardian/parent.

1. I/We,_________________&______________________ , the parent(s)/natural

guardian(s) of the minor(s) listed below, hereby certify that I/we am/are over the age of eighteen (18) years of age, AND am/are of sound mind and memory at the time of the execution of this Release, indemnification agreement and waiver. ______ (Initial)

2. I hereby certify that the minor/s weigh/s no less than 70 lbs. or no more than 275 lbs., and is/are physically fit for the activities he/she/they may participate in at the Ziplines at Haile Quarry.______ (Initial)

3. Staff members reserve the right to deny the minor/s and/or the guardian access to the ziplines if either fails to meet all of the requirements listed above.

I have read and understand these risks and responsibilities and have explained them to the Minor and believe they are understood: ______ (Initial)

Minor Participant Information:

Minor 1 Minor 2

First Name:________________________ First Name:_______________________________

Last Name:________________________ Last Name: _______________________________

DOB: ________________ DOB: ________________

Age:_____Height:_______Weight:_______ Age:_____Height:_______Weight:_______

Address: ___ Same as Parent/Guardian

If not the same as Parent/Guardian, please write address here:

NO., Street_________________________________

City, Zipcode________________________________

Address: ___ Same as Parent/Guardian

If not the same as Parent/Guardian, please write address here:

NO., Street__________________________________

City, Zipcode_________________________________

📞: __________________________ 📞: __________________________________

✉️: ______________________________ ✉️ :__________________________________

Minor 3 Minor 4

First Name:_________________________ First Name:_________________________

Last Name:_________________________ Last Name:_________________________

DOB:_________________ DOB:_________________

Age:_____Height:_______Weight:_______ Age:_____Height:_______Weight:_______

Address: ___ Same as Parent/Guardian

If not the same as Parent/Guardian,please write address here:

NO., Street__________________________________

City, Zipcode_________________________________

Address: ___ Same as Parent/Guardian

If not the same as Parent/Guardian,please write address here:

NO., Street__________________________________

City, Zipcode_________________________________

📞: __________________________________ 📞: __________________________________

✉️ :__________________________________ ✉️ :__________________________________

Full name of Parent/Guardian of minor participant:

First Name:___________________________ Last Name:____________________________

Parent’s/Guardian’s DOB:_______________Age:________

________________________________________________ _______________________

Parent / Guardian Signature Date:

IF YOU NEED ADDITIONAL MINOR FORMS PLEASE TALK ASK THE RECEPTIONIST FOR MORE FORMS.