Complete a waiver for myself
Complete a waiver for myself and children
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Liability Waiver

Please read the waiver below and fill out the required fields found in the following form sections. All liability language from the waiver will apply to all persons listed below.



                                      PLEASE READ CAREFULLY!


Pottawattamie County (as well as its employees, agents, independent contractors, volunteers, etc.) fully intends to rely upon the immunity protections set forth in Iowa Code Chapter 670.  To the extent that these protections are found to be insufficient, the undersigned agrees to the terms set forth below as a precondition to participation in any activities.


I desire to participate in the activities offered at Mt. Crescent Ski Area (Mt Crescent), whether the activity is offered by Pottawattamie County or any other person, corporation, or business entity (collectively “Mt Crescent”), each to which is a separate entity and/or location. I understand the activities may include, but not be limited to, skiing, snowboarding, snow tubing, sledding, snowshoeing, running events. I understand that these activities at varying times range from recreational to competitive. It is my intent to participate in the activities at the level being offered on this date.

I am aware and fully understand that  these activities are inherently dangerous, involve and include the risk of damage to self and property, serious injury and death, both to myself and to others. I understand that participation in these activities may result in damage, injury and death and that I may incur medical, repair, and/or funeral expenses. Therefore, I heartily release  Mt. Crescent, it’s  employees,  owners, volunteer  staff,  rescue personnel, independent contractors, and other business entities operating at Mt. Crescent from any damage, injury, death, or any other liability, whether  caused by my negligence or negligence of another, either through an act or omission, and hereby assume the risk  of the consequences of participating in the activities at Mt. Crescent Ski Area.

I understand that there are many potential causes for property damage, serious injury and death at Mt. Crescent

including the negligence of Mt. Crescent, its owner, employees, volunteer staff, rescue personnel, independent contractors, and equipment as well as my own negligence and negligence of others. I understand the risks involved in participating in these activities and assume the risk of the consequences by participating in the activities offered at Mt. Crescent. I understand those risks include, but are not limited to, striking fixed objects (such as marked and unmarked obstacles, natural or manmade obstacles, boundary markers, lift poles, trees, barricades, rocks, buildings, collisions with snowmobiles, snow making equipment, snow grooming equipment, or other vehicles), coming into contact with other patrons, employees, volunteer staff, rescue personnel, independent contractors, through loss of control including but not limited to lack of

attention, loss of control etc. by myself or others while participating in the activities offered at Mt. Crescent Ski Area, lift equipment malfunction (such as by chair lift, falling off chair lift, tangled in chair lift, cable break, chair break, lift breakdown), surface condition variations (such as ice, slush, ridges, thin coverage, protruding objects), and those caused by participating in the activities and its effect on my personal physical condition (such as cardiovascular failure, ligament and tendon tear and/or break, broken bones, internal damage, head trauma, scarring, disfiguration), straying from approved and unapproved participation boundaries, weather conditions (such as fog, precipitation, wind, extreme cold, frostbite, hypothermia) and engaging in activities strictly prohibited by Mt. Crescent.

In consideration of being permitted to participate in the activities offered at Mt. Crescent I hereby agree to release, waive, discharge and covenant not to sue Mt. Crescent, its owner, agents, employees, volunteer staff, independent contractors or rescue personnel as well as any equipment manufacturers and distributors involved with the Mt. Crescent facilities from any and all liability from any and all loss or damage I may have and any and all claims or demands I may have on account of injury to my person and property or the person and property of others, including death, arising out of or related to the activities offered at Mt. Crescent whether caused by the negligence of Mt. Crescent, its owner, agents, employees, volunteer staff, independent contractors, or distributors or otherwise.

In consideration of being permitted to participate in the activities offered at Mt. Crescent I assume full responsibility for any and all risk of bodily injury, death, or property damage arising out of or related to the activities offered at Mt. Crescent. I assume full responsibility for any and all risk of bodily injury, death or property damage arising out of or related to the activities offered at Mt. Crescent whether caused by the negligence of Mt. Crescent, its owner, agents, employees, volunteer staff, independent contractors, distributors or otherwise

In consideration of being permitted to participate in the activities offered at Mt. Crescent I hereby agree to release, waive, discharge and covenant not to sue Mt. Crescent, its owner, agents, employees, volunteer staff, independent contractors or rescue personnel as well as any and all distributors involved with the Mt. Crescent facilities, on behalf of myself, my spouse, my children, my parents, my heirs, assigns, personal representative and estate. I agree to pay all costs, including reasonable attorneys’ fees and disbursements, incurred by any released party in defending an investigation, claim or suit brought on by me or by the Releasors (all participants on this agreement including Minors) behalf as a result of my or any Releasors participation in an activity.

In consideration of being permitted to participate in the activities offered at Mt. Crescent I hereby agree to indemnify and save and hold harmless Mt. Crescent, its owner, agents, employees, volunteer staff, independent contractors, and distributors from any and all loss, liability, damage, or cost they may incur arising out of claims generated while I participated in activities at Mt. Crescent whether caused by their negligence or otherwise.

In consideration of being permitted to participate in the activities offered at Mt. Crescent I agree that this Release and Waiver of Liability, Assumption of Risk and Indemnity Agreement extends to any and all acts of negligence by Mt. Crescent, its owner, agents, employees, volunteer staff, independent contractors, rescue personnel, and distributors, including negligent rescue operations and is intended to be as broad and inclusive as is permitted by Iowa law and if any portion is held invalid, it is agreed that the balance shall continue in full legal force effect.

I agree that any dispute arising under this agreement/contract and/or from any use by me of any of the premises or facilities at or of Mt. Crescent Ski Area shall be litigated exclusively in the District Court of Pottawattamie County, Iowa and that all claims and suits shall be governed by the laws of the State of Iowa.


I have carefully read this release and waiver of liability, assumption of risk and indemnity agreement, fully understand its terms, understand that I have given up substantial rights by signing it and have signed it freely and voluntarily without any inducement, assurance, guarantees, or warranties expressed or implied, being made to me and intend my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law. By signing below, I warrant I have the authority and expressed consent to sign this agreement on my own behalf and on behalf of all other Releasors named in this agreement. Recognizing and accepting the risks, I voluntarily choose to take part in the activity and/or voluntarily choose to allow Releasors named in this agreement to take part in the activity.


(“Minor”) being permitted by Mt. Crescent to participate in its activities and to use its equipment and facilities, I further agree to indemnify and hold harmless Mt. Crescent, its owner, employees, volunteer staff, rescue personnel, independent contractors, and distributors, from any and all claims which are brought by or on behalf of Minor, and which are in any way connected with such use or participation by Minor. I adopt and incorporate all of the foregoing language in the release as if fully set forth herein. I adopt and agree to the preceding terms and conditions stated above as if set forth fully herein. I understand and agree that by accepting this agreement on behalf of any person other than myself, I am representing and warranting that I am legally authorized to execute this agreement as either parent or legal guardian of that person and/or Minor participant(s), or that I have been given the express authority and permission from that other person to accept the terms and conditions of this agreement.

By signing this waiver, I agree that all information is complete and accurate.