Parental Safety Terms Acknowledgement

Thank you for your response. ✨

Thank you for submitting your declaration.

Parent or Caregiver Name

Trip or course

Child name

Date of Birth (YYYY-MM-DD)

Do any of the children listed above any medical conditions or dietary needs that may impact their safe participation in the activity?

Wānaka Mountain Guides Ltd is a Worksafe registered provider of adventure activities and DOC concession holder.

In all mountain, skiing, climbing, and trekking based activity there is an element of risk involved. Risks in undertaking this activity include (but not limited to):

Death or injury due to fall while climbing or skiing
Death or injury due to avalanche, rock or ice fall;
Death or injury due to crevasse fall;
Death or injury due to hypothermia.

The staff and management of Wānaka Mountain Guides take all practicable steps to identify and minimise potential dangers including the ever-present hazards outlined above. Wānaka Mountain Guides acknowledges our statutory obligations under the Health and Safety at Work Act 2015. However, it is acknowledged that there is inherent risk involved in the undertaking of the activities operated by Wānaka Mountain Guides.

WARNING: Under New Zealand law it is extremely unlikely that you will be able to sue anyone if you are injured. In addition, New Zealand’s accident compensation scheme provides only limited assistance to visitors to New Zealand who are injured. We strongly recommend that all visitors to New Zealand have full insurance covering any injury they might suffer, including medical treatment cover, before undertaking this activity.

EXCLUSIONS:

To the extent permitted by law, all our liability for damage to your property, disruption to travel plans, or mental injury is excluded. This exclusion is subject to any rights or remedies you may have under the Consumer Guarantees Act 1993.

Please disclose to your guide any medical conditions or other information we need to know to include the children listed above safely in this activity (for example: asthma, allergies, heart conditions, epilepsy or pregnancy).

You are entitled to access any information we hold about you or and your children and to request its correction at any time.

Please type your name below in acknowledgment on behalf of the children listed above that you have read and understood the above safety terms and that you assume all risks and release all persons, entities or contractors connected with Wānaka Mountain Guides from all liability for any injuries or damages and from any claim by yourself, your family, estate, agents, heirs or assigns arising in any way from participation in all, and any activities connected with Wānaka Mountain Guides:

Please read the Terms and Conditions and Privacy Policy.

Please type your name below in acknowledgement on behalf of the children listed above that you have read and understood the Terms and Conditions and Privacy Policy: