Activity Waiver Form

THIS ACTIVITY WAIVER FORM (this "Waiver") dated DD ___, MM _______________, YY _________, for the duration from DD ___, MM _______________, YY _________, to DD ___, MM _______________, YY _________

IN CONSIDERATION of being allowed to participate in the Activity and other good and valuable consideration, the receipt of which is hereby acknowledged, I (your full name)___________________________ of (your home address)________________________________ (the "Participant") agree with Thomas Tang of 13529 Island Rd, Fort Myers, FL 33905, USA (the "Activity Provider") to the following:

DETAILS OF ACTIVITY

1. The Participant will be participating in the following activities: (1) Riding Bicycles (2) Driving 50cc scooters and or (3) Operating a motorized dinghy boat from 13529 Island Rd Fort Myers FL 33905 (the "Activity") provided by the Activity Provider.

CONSIDERATION

2. Being of lawful age, and compliant with Florida’s boating license requirements, and in consideration of being permitted to participate in the Activity, the Participant releases and forever discharges the Activity Provider, the Activity Provider's spouse, heirs, executors, administrators, legal representatives, and assigns from all manner of actions, causes of action, debts, accounts, bonds, contracts, claims, and demands for or by reason of any injury to person or property, including injury resulting in the death of the Participant, which has been or may be sustained as a consequence of the Participant's participation in the Activity, and not withstanding that such damage, loss, or injury may have been caused solely or partly by the negligence of the Activity Provider.

3. The Participant understands that the Participant would not be permitted to participate in the Activity unless the Participant signed this Waiver.

CONCURRENT RELEASE

4. The Participant acknowledges that this Waiver is given with the express intention of eﬀecting the extinguishment of certain obligations owed to the Participant by the Activity Provider, and with the intention of binding the Participant's spouse, heirs, executors, administrators, legal representatives, and assigns.

FITNESS TO PARTICIPATE

5. The Participant acknowledges to the Activity Provider that the Participant does not have any physical limitations, medical ailments, or physical or mental disabilities that would limit or prevent the Participant from participating in the Activity. If required, the Participant will obtain a medical examination and clearance.

FULL AND FINAL SETTLEMENT

6. The Participant acknowledges and agrees with the Activity Provider that: (1) the Activity Provider has given the Participant suﬃcient time to carefully read this Waiver, (2) the Participant has been given the opportunity and has been encouraged to seek independent legal advice prior to signing this Waiver, (3) the Participant fully understands the risks and claims that the Participant is waiving to participate in the Activity, (4) the Participant is freely and voluntarily executing this Waiver, and (5) the Participant is forever prevented from suing or otherwise claiming against the Activity Provider for any property loss or personal injury that the Participant may sustain while participating in or preparing for the Activity.

DAMAGE AND LOSS OF KEYS

7. The Participant acknowledges and agrees with the Activity Provider that the Participant is responsible for any physical damage (except scratches) to the Scooters, and loss of keys of the Scooters.

GOVERNING LAW

8. This Waiver will be governed by and construed in accordance with the laws of the State of Florida.

EMERGENCY CONTACT

9. Name: _____________________________

Phone: ______________________

IN WITNESS WHEREOF the Participant has duly aﬃxed their signature on this _______ day of ____________________, __________.

______________________Signed

______________________(Participant)

Activity Waiver Form for participating to use motorized 50cc scooter and motorized 10 HP boat