NAME OF APPLICANT: (please print)
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ASSUMPTION OF RISK
I am aware that kayak tours involve many inherent risks, dangers and hazards, including but limited to weather conditions; high winds; changes in wind direction; equipment failure; encounters with wildlife; variation of water conditions; exposed rock, trees, logs, docks, wharfs or other natural or man made objects, other kayaks, sailboats, power boats, swimmers or pedestrians; failure to navigate sagely within one’s own ability; negligence of other participants; and NEGLIGENCE ON THE PART GREEN ADVENTURES and their directors, employees, agents, employees, volunteers and representatives and I freely accept and fully assume all such risks, dangers and hazards and the possibility of personal injury, death, property damage or loss resulting from them.
RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNTY AGREEMENT
In consideration of GREEN ADVENTURES and their directors, officers, employees, agents, volunteers and representatives permitting me to participate on the kayaking tours, I hereby agree as follows:
To WAIVE ANY AND ALL CLAIMS that I have or may in the future have against GREEN ADVENTURES, their directors, officers, employees, agents, volunteers and representatives (all of whom are hereinafter collectively referred to as the “Releases”)
To RELEASE THE RELEASEES from any and all liability for any loss, damage, death injury or expense that I may suffer or that my next of kin may suffer as a result of my participation on a kayaking tour, due to any cause whatsoever, INCLUDING NEGLIGENCE ON THE PART OF THE RELEASEES;
I AGREE TO HOLD HARMLESS AND INDEMNIFY THE RELEASEES for any injury, loss or property damage to any third party resulting from my participation on their kayak tour; and That this agreement shall be effective and binding upon my heirs, next of kin, executors’ administrators and assigns, in the event of my death. All instructions on the use of my equipment have been made clear to me and I understand the function of my equipment. All support documentation I have provided is true to the best of my knowledge and I am 18 years of age or older.
I HAVE READ AND UNDERSTAND THE RELEASE OF LIABILITY AND INDEMNITY AGREEMENT.
I agree to wear a personal flotation device at all times.
Signature of applicant
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Signature of Witness
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|Signed this ____ day of ___________, 20___.