Dark Skies Night Hike - Registration Form / Waiver
We'll walk paved, but steep roads from Firth Park to the water tank on Beatrice/Alexander Rd. Flashlights and reflective clothing are recommended. Limited parking; please walk or carpool if possible. A shuttle option will be available for those with mobility challenges. Please fill out this form in order to attend this event.
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Name (First Name, Last Name) *
Email
Phone Number
Do you need a shuttle ride from Firth Park (301 Glen Park Way) to shorten the hike? *
Liability Form

Please read carefully.  By signing this form, you state that: 1) You assume all risk of injuries from participation in this Dark Skies Night Hike; 2) You release the City of Brisbane, its officers, employees, agents and servants from all liability arising out of your participation in this activity even though they may be negligent.

1.   Assumption of Risk: I voluntarily participate in the  Dark Skies Night Hike activity fully aware of the dangers and risks involved, and knowing that the City of Brisbane does not guarantee the construction, condition, or safety of the facilities or the equipment, nor the supervision of the activity by its officers, employees, agents and servants.  I expressly assume the risk of all loss, damage or injury from my participation in, or presence at, the said activity.

2.   Release of Liability:  In consideration for the opportunity to participate in this activity and the service provided by the City of Brisbane, I/we (on behalf of myself/ourselves, my/our heirs, assigns and legal representatives) release the City of Brisbane, its officers, employees, agents and servants from any liability whatsoever arising out of our participation in, or presence at, the above described activity.  I/we expressly absolve the City of Brisbane, its officers, employees, agents and servants of liability for their negligence.

I CERTIFY THAT I AM 18 YEARS OF AGE OR OLDER, OR THAT MY PARENT OR LEGAL GUARDIAN CONSENTS TO MY PARTICIPATION IN THIS ACTIVITY, AND THAT I/WE HAVE READ, FULLY UNDERSTAND AND AGREE TO THE TERMS OF THIS LIABILITY RELEASE , AND I/WE SIGN IT VOLUNTARILY WITH FULL KNOWLEDGE OF ITS SIGNIFICANCE.

Insert the date below to sign the liability form agreeing to the terms of this form. *
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Please have your parent/guardian fill out the section below if you are under 18 years old.
Parent/Guardian Name (First, Last Name)
Parent/Guardian Email
Parent/Guardian Phone Number
Parent/Guardian: Insert the date below to sign the liability form.
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