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NOTE: BASED ON THE RESPONSES YOU PROVIDED ON THIS QUESTIONAIRE AND THE INTERACTIVE DISCUSSION YOU HAD WITH A Hersheypark TEAM MEMBER, YOU WILL RECEIVE AN ACCESSIBILITY BOARDING PASS WITH A LIST OF ATTRACTIONS THAT YOU MAY BE ABLE TO ENJOY SUBJECT TO ALL REQUIREMENTS AND RESTRICTIONS FOR EACH ATTRACTION, INCLUDING HEIGHT REQUIREMENT AND HEALTH RECOMMENDATIONS. YOU ACKNOWLEDGE AND AGREE THAT YOU ARE SOLEY RESPONSIBLE FOR CAREFULLY REVIEWING AND CONSIDERING THE REQUIREMENTS AND RESTRICTIONS OF THE ATTRACTIONS (WHICH ARE LISTED AT THE ENTRANCE TO EACH ATTRACTION AND IN THE RIDER SAFETY & ACCESSABILITY GUIDE AVAILABLE ON Hersheypark'S WEBSITE) TO DETERMINE WHETHER YOU CAN SAFELY PARTICIPATE. IF YOU HAVE AN IMPAIRMENT OR CONDITION (INCLUDING A PRE-EXISITING CONDITION OF ANY KIND) THAT MAY BE AFFECTED OR AGGRAVATED BY THE FEATURES OF AN ATTRACTION OR WOULD PREVENT THE INTENDED USE OF SEATING AND SAFETY RESTRAINTS OR THE INABILITY TO FOLLOW SAFETY WARNINGS AND INSTRUCTIONS DO NOT RIDE THE ATTRACTION.
STATEMENT OF CONFIDENTIALITY: THE INFORMATION PROVIDED ON THIS FORM WILL BE TREATED AS CONFIDENTIAL. YOUR INFORMATION WILL NOT BE DISCLOSED EXCEPT TO OUR EMPLOYEES IN THE PERFORMANCE OF THEIR JOB DUTIES, TO ANY MEDICAL PERSONNEL WHO MAY BE CALLED UPON TO TREAT YOU WHILE YOU ARE ATHersheypark, OR BY OPERATION OF LAW.
By signing below, I certify that my answers to the above are true and correct to the best of my knowledge. I understand that this Questionnaire is valid for 30 days;however, it is my responsibility to notify Hersheypark if any of my answers to the above need to be modified prior to completing a new Questionnaire.
