R5, 2022-09-08

NOTE: Whitemills Wake & Aqua Park does not accept paper waivers, please submit electronically.

Before completing the form, please watch our safety video here  


Please select who will be participating:

First Minor's Information

Second Minor's Information

Third Minor's Information

Fourth Minor's Information

Fifth Minor's Information

Sixth Minor's Information

Participant's Address


Please read and mark the one checkbox below

Whitemills Wake & Aqua Park Activity Agreement

At Whitemills Wake & Aqua Park we take your health and safety seriously. We wish to highlight that any of the activities available can be potentially hazardous physical activities and that participation can lead to a risk of injury and even death.

I the Participant or Parent/Guardian of Participant(s), confirm as follows:

That I acknowledge that the activities provided by Whitemills Wake & Aqua Park require participants to be able to swim competently and to be confident in open water, to have a reasonable level of fitness and ability.

By ticking this box I confirm the participant(s) is/are (a) competent swimmer(s) and confident in deep open water, additionally, the participant(s) has/have a reasonable level of fitness and ability and would be able to exit the water without assistance.

  • I understand and accept that in participating in activities at Whitemills Wake & Aqua Park that there is an element of danger and risk of physical or emotional injury to both the participant(s) and others and consequently the participant(s) is/are to undertake to use Whitemills Wake & Aqua Park’s equipment and facilities (the “Facilities”) and to conduct themselves while on Whitemills Wake & Aqua Park’s premises, in a sensible and responsible manner and in compliance with all notices, instructions and directions as published or displayed from time to time and in compliance with any instruction given to the participant(s) by an authorised person in Whitemills Wake & Aqua Park’s control.
  • That the participant(s) is/are in a good state of health and free from any injury, medical condition, disease or illness which may be aggravated by participating in activities at Whitemills Wake & Aqua Park or which may make it unsuitable for the participant(s) to take part in such activities. Additionally, the participant(s) does/do not have any medical condition that may make the activities more dangerous or may increase any risk of injury to the participant(s) or others or make more likely that the participant(s) will be involved in an accident which could result in any form injury during the activity.
  • I acknowledge that the activities provided by Whitemills Wake & Aqua Park are not available to pregnant women and that by accepting these terms I confirm that the participant(s) is/are not pregnant.
  • I acknowledge that cosmetic body enhancements including but not limited to false nails, none removable jewellery and other surgical additions could cause injury to the participant(s) of any activities. Whitemills Wake & Aqua Park strongly advises any participant(s) to remove these if possible before participating or not to participate, as Whitemills Wake & Aqua Park will not be held accountable for any injury caused to the participant(s).
  • I acknowledge and agree that the participant(s) is/are responsible for their own safety and the safety of others whilst participating in activities. I understand that the activities may be undertaken without direct supervision following safety instructions and agree that the participant(s) will at all times wear any protective equipment provided by or required by Whitemills Wake & Aqua Park to be worn and will ensure that the participant(s) complies/comply with all instructions given at any time during the activities by Whitemills Wake & Aqua Park by any of its staff, media or signage. I further acknowledge and agree that the participant(s) will wear (a) buoyancy aid(s) where required and will not remove this at any point whilst in the water.
  • I agree that the participant(s) shall not participate in any activities provided by Whitemills Wake & Aqua Park unless the participant(s) has/have undertaken Whitemills Wake & Aqua Park’s safety and induction procedures and processes in relation to the activities and confirm that the participant(s) will comply with these at all times whilst on the premises from which the activities will be carried out.
  • I agree that the participant(s) will only carry out moves and tricks that are within the participant(s)’s skill and fitness levels and of which the participant(s) is/are able to retain control of at all times. That the participant(s) will also only use features that the participant(s) has/have the ability to use within the participant(s)’s skill and fitness levels. Moves and tricks and use of features are performed entirely at the participant(s)’s own risk and I will not hold Whitemills Wake & Aqua Park liable for any injury the participant(s) may attain whilst participating in these activities.
  • I agree and promise to ensure the participant(s) accept(s) to be responsible for any and all risks existing and subsisting in the activities. I acknowledge that participation in the activities is voluntary and that the participant(s) elect(s) to participate despite of the risks and agrees to accept the consequences of so doing.
  • That the participant(s) will not use Whitemills Wake & Aqua Park’s facilities and activities whilst under the influence of any drugs or alcohol.
  • That I will fully indemnify Whitemills Wake & Aqua Park, its agents and employees against any claim brought by a third party for loss, damage, injury or death which has been caused by any action or omission of mine or any act or omission of any participant(s) of which I am the lawful parent or guardian or any participant(s) whose supervision is wholly or partly my responsibility at the time of the relevant act or omission that would, if they had agreed to the same with full capacity to do so, amount to a breach of these Terms and Conditions or which amounts to negligence or a wilful act or omission.
  • That when accompanying a child or children under the age of 14 years, I will comply and ensure that the child or children are safe and looked after. I will be present on site at all times and will not leave them unattended.
  • I confirm and agree that the participant(s) will comply with all age and height restrictions specified by Whitemills Wake & Aqua Park from time to time. The participant(s) acknowledge(s) that if they do not comply with any age or height restrictions or any other requirements put in place by Whitemills Wake & Aqua Park from time to time, they will not be able to participate in the activities and agree that they will promptly withdraw upon request by Whitemills Wake & Aqua Park.
  • Participant(s) should not enter the water if they are suffering from gastrointestinal illness, and if they have been recently unwell, they must be symptom free for 48 hours before they can use the facility.
  • I acknowledge that nothing in these Terms and Conditions is intended to avoid liability, on the part of Whitemills Wake & Aqua Park, for personal injury or death caused by the negligence of wilful act of its authorised person or agents.
  • I and as parent or legal guardian of any accompanying children give consent and agree to Whitemills Wake & Aqua Park photographing and/or recording(s) myself and any accompanying children and to use any such photographs and/or recording solely and only for Whitemills Wake & Aqua Park advertising and promotional purposes. Myself and any accompanying minors hereby waives any right to inspect or approve the use of any such material and acknowledge and agree that the rights to use such material shall not require payment or compensation of any kind to be made by Whitemills Wake & Aqua Park to myself and/or any accompanying children. I am fully aware that I must contact a manager of Whitemills Wake & Aqua Park if I do not wish to be a part.
  • The participant(s) consent(s) and agree(s) to the use by Whitemills Wake & Aqua Park of CCTV monitoring for training, health and safety and security purposes.
  • Whitemills Wake & Aqua Park consents to the participant(s) and accompanying members of their group undertaking photography for their own non-commercial purposes only and for no other purpose whatsoever. However, the participant(s) and accompanying members of their group are not to use any drone type equipment at Whitemills Wake & Aqua Park, without seeking the correct permit(s), having the required training, license(s) and insurance, with supporting documentation being available, to operate the equipment, before seeking the approval of the senior management at Whitemills Wake & Aqua Park.
  • The participant(s) acknowledge(s) that Whitemills Wake & Aqua Park is not and shall not be liable for any damage or loss to themselves, any third parties or property incurred whilst the participant(s) is/are undertaking the activities or are on the premises of Whitemills Wake & Aqua Park.
  • That I may be asked for proof of I.D at any age. I must be able to produce documents if necessary. Failure to do so can result in being refused to partake in activities.
  • I confirm that I have read the above and adhere to the guidance set by the staff.
  • I confirm I am over the age of 18 years, signing for myself as a participant or as the Parent/Guardian of (a) participant(s) under the age of 18 years old.


Click to Sign
Signature

By checking here, you acknowledge you have read and understand the above terms, and are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.