🌐 多國語言 (Language):
Lotus Wake Park

蓮潭滑水主題樂園 線上註冊

MEMBER REGISTRATION & SAFETY WAIVER

請填寫會員註冊資料與電子切結書

請確實填寫真實資料,註冊完成後系統將自動產出具備法律效力之 PDF 切結書。

已有帳號?返回登入

🚨 緊急聯絡人資訊 (必填)

📜 蓮潭滑水主題樂園 官方切結書條文 (Terms & Waiver)

雙頁法定條款 (Two-Page Legal Waiver)

蓮潭滑水主題樂園 - 參加切結書注意事項

PAGE 1 / 2

注意事項:

1. 參加人員必須穿著安全頭盔及救生衣(本公司亦有租借)。

Participants must wear safety helmet and lifejacket.

2. 參加人員自行準備之裝備如下:飲用水、防曬用品、可練習用長褲或短褲、泳褲(衣)、一套換洗衣物、毛巾或防寒衣(若學員有需要,本公司亦有租借公用防寒衣)。

Participants must acquire the following items: drinking water, sun-protection gears, shorts/pants, swim-suits, change of clothes, towel & thermals (thermals can be rented)

3. 課程詳細內容,在您報到後教練會充分說明。

Further information and minor details will be clarified when participants report for training.

4. 下水前了解滑水過程是「落水後踩不到底且必須自行游泳回到岸上」。確認簽名:

I understand that when I fall into the water I might not be able to touch the ground with feet and need to be able to swim back to the shore on my own wearing a life vest. Signature :

5. 如教練觀察參加人員無基本上昇能力時或行為危及他人(ex:酒醉),教練有權利停止學員繼續在這水域上的任何活動,以策安全。

Our instructor/operator has the right to stop participants from riding or continuing any activity in the park for safety reason. E.g. Riders who cannot swim back after falling, who is too drunk.

本人 明白參加纜繩滑水活動是一項刺激但安全的活動,然而操作纜繩滑水相關裝備不當,可能會導致自己或週遭人員受到傷害或甚至死亡,本人自願參加由蓮潭滑水主題樂園安排的纜繩滑水訓練課程,本人同意參與本項課程時,遵守教練、工作人員之一切指示,及場地相關安全規則,並同意不會進行對自己或他人安全健康有害之虞之一切動作,且在健康情況良好之下進行,若有下列所述病況或潛在疾病者:心臟病、高血壓、腦溢血、先天性癲癇症等及孕婦皆禁止參加,本人確認無上述及其他不得參加本課程之疾病。

本人同意放棄對 貴公司及其代表人、經理人、教練、職員等有關人員的任何賠償要求,因此一旦意外發生,該中心及其負責人、教練及工作人員不須為本人參加的訓練活動課程所引起的個人或他人傷害、財物損失及意外負任何責任。也聲明放棄對前揭人員之所有民事訴訟及要求賠償之權利,並同意一旦意外發生,本人將自行負起一切傷害或損失的責任。本切結書之解釋與適用,以及與本切結書有關的爭議,均應依照中華民國法律予以處理,並以台灣高雄地方法院為第一審管轄法院。

蓮潭滑水主題樂園 Lotus Wake Park

【第二頁】PAGE 2 / 2

I understand that wake-boarding is an adventurous and safe activity when performed under proper operation. Wake-boarding can be dangerous and can lead to serious injury or death. If I participate don't follow safety rules at Wake-park. I willingly participate in the training program organized by Lotus Wake-park Ltd.

I agree to follow the rules of training, abide by instructions of trainers/staff and will not take risks or carry out actions that will endanger myself, fellow participants and staff. I confirm to the best of my knowledge that I do not suffer from any medical condition and do not have the following conditions: heart condition, high blood pressure, Cerebral Thrombosis, Epilepsy and/or pregnant.

I will not hold liable; Lotus Wake-park Ltd Company, Lotus Wake-park Ltd representatives, managers, trainers and staff, for any loss or injury. Lotus Wake-park Ltd Company, Lotus Wake-park Ltd representatives, managers, trainers and staff will not be held responsible for any loss of possessions, damages of belongings, or injury of oneself and others. I will take full responsibility of all my actions during my time at Lotus Wake-park Ltd.

All issues and questions concerning the construction, validity, interpretation and enforceability of these Official Rules, or the rights and obligations of the Eligible Participant shall be governed by, and construed in accordance with, the laws of Taiwan, Republic of China.

☑ 本人知悉上列提供個人資料僅用於蓮潭滑水主題樂園切結書及相關行銷活動使用

I understand above personal information only use for indemnity form and any marketing activities purpose from Lotus Wake Park.

本切結書含中英文版本對照,若文義不同時,以中文版本為準。

The English translation is for reference only. The Chinese version shall govern if there is any difference between two versions.

立切結書人 Participant: 日期: 年 月 日

DATE : Y M D

立切結書人若未滿 20 歲,必須由家長或監護人簽署,否則不可參加纜繩滑水相關訓練活動。

Participants under the age of 20 require parental/guardian consent before taking part in any water activities.

家長或監護人簽署: Parental/Guardian Consent

此致

蓮潭滑水主題樂園-進福大灣企業社

經手人:__________________