Florida Bay Outfitters Inc.RESERVATION FORM
Trip Description______Dates______
Name ______
Address ______
City______State____ Zip ______Country ______
Phone: Home ______Work ______Cell ______
E-mail______
Emergency Contact
Name: ______relationship: ______
Phone: Home ______Work ______Cell ______
Deposit Payments A 25% deposit by check or credit card is required to confirm reservation. The balance is due 30 days before the trip departure date. Please fax or mail back reservation and liability forms along with your deposit.
Amount Enclosed $______Check #______
Circle one: Visa Master Card American Express Discover
Card #______3 digit security code______
Print name as appears on card ______
Signature as appears on card______
Billing Address (if different from above)______
City______State______Zip______
“I agree to accept the booking conditions as stated below and to pay the balance due 30 days before the trip departure date.”
Signature: ______Date: ______
No refunds are allowed for cancellations received by us less than forty five(45) days prior to trip departure. We cannot issue refunds for late arrivals or “no shows” caused by travel delays, flight cancellations or illness. We urge you to consider purchasing trip cancellation/interruption insurance. Contact your insurance agent.
Florida Bay Outfitters, Inc. reserves the right to cancel or alter any trip itinerary as required because of insufficient bookings, weather, or other conditions beyond our control. Trip itineraries for Everglades National Park Wilderness Camping cannot be guaranteed due to a 24 hour advance reservation park policy. Most trips require a minimum of 6 participants.
There is an element of risk on all paddling trips. Because of the inherent risks, dangers and rigors that are part and parcel of all water related activities, you must be able to certify that you and your family, including minor children, are fully capable of participation forpaddling and related activities, and you must assume full responsibility for yourself, your family, including minor children, for bodily injury, death and loss of personal property and expenses thereof.
All Participants must complete and sign a release of liability form.
104050 OVERSEAS HWY., KEYLARGO FL. 33037 * TEL: 305-451-3018 * FAX: 305-451-9340
Florida Bay Outfitters Inc. / Guided Tour - Release of Liability
Name of Participant ______
Address ______
City______State ____ Zip ______Country ______
Phone: Home ______Work ______Cell ______
E-mail______
Medical Information– Age____ Height __’ ___” Weight ____lbs.
Please describe any existing medical conditions: ______
Please list any medications being taken: ______
______
Please list any known allergies: ______
______
Special Diet Requests (allergies, vegetarian, just plain don't like something, etc.) ______
______
Emergency Contact
Name: ______relationship: ______
Phone: Home ______Work ______Cell ______
Release of Liability
IN CONSIDERATION of being permitted to participate among and on kayaks, canoes and guided tours under the auspices of FLORIDA BAY OUTFITTERS, I acknowledge, appreciate and agree that:
1)The risk of injury from the activities involved in this program is significant, including the potential for paralysis or death. This risk includes but is not limited to my riding on any canoes and kayaks, and/or participating on guided tours.
2)I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE of those persons released from liability below, and assume full responsibility for my participation; and,
3)I will comply with all rules and regulations. If I have any question, or observe any unusual or unnecessary hazard during my participation, I will immediately bring such to the attention of the nearest official; and,
4)I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY AND HOLD HARMLESS FLORIDA BAY OUTFITTERS, the owners and lessors of premises used to conduct the canoeing, kayaking, and guided tour activities, their officers, officials, instructors, trainers, agents and/or employees ("Releasees"), WITH RESPECT TO ANY ANDALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.
5)Further, I hereby grant full permission to any and all foregoing to use photographs, videotapes, motion pictures, recordings or any other record of this event for any purpose whatsoever.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
Participant: (PRINT) ______
Signature: ______Date: ______
(parent or gaurdian):______Date: ______
Under 18, signature of parent or guardian is required -- please read below.
FOR PARTICIPANTS OF MINORITY AGE (UNDER 18 AT TIME OF REGISTRATION):
This is to certify that I, as parent/guardian of this participant do consent and agree to his/her indemnification, release and hold harmless as provided above of all Releasees, and I, for myself and behalf of my heirs, assigns and next of kin, hereby release, indemnify and hold harmless the releasees from any and all claims incident to my child's involvement in these programs EVEN IF ARISING OUT OF THE NEGLIGENCE OF THE RELEASEES.
EVERGLADESNATIONAL PARK
VISITOR'S ACKNOWLEDGEMENT OF RISKS
In consideration of the services of FLORIDA BAY OUTFITTERS, their officers, agents, employees, and stockholders and all other persons or entities associated with those businesses (hereinafter collectively referred to as "FBO,") I agree as follows:
Although FBO has taken reasonable steps to provide me with appropriate equipment and skilled guides so I can enjoy an activity for which I may not be skilled, FBO has informed me this activity is not without risk. Certain risks are inherent in each activity and cannot be eliminated without destroying the unique character of this activity and can be the cause of loss or damage to my equipment, or accidental injury, illness or in extreme cases permanent trauma or death. FBO does not want to frighten me or reduce my enthusiasm for this activity, but believes it is important for me to know in advance what to expect and to be informed of the inherent risks. The following describes some, but not all, of those risks (exposure to both land and sea environments can include insect or animal bites, tree and plant poisoning or allergies, heat exhaustion and hypothermia. Also changes in weather, high winds, strong currents, high seas, lightning, etc., can cause fatigue, bodily injury, and death.)
I am aware that KAYAKING AND CANOEING entails risks of injury or death to any participant. I understand the description of these inherent risks is not complete and that other unknown or unanticipated inherent risks may result in injury or death. I agree to assume and accept full responsibility for the inherent risks identified herein and those inherent risks not specifically identified. My participation in this activity is purely voluntary, no one is forcing me to participate, and I elect to participate in spite of and with full knowledge of the inherent risks.
I acknowledge that engaging in this activity may require a degree of skill and knowledge different than other activities and that I have responsibilities as a participant. I acknowledge that the staff of FBO has been available to more fully explain to me the nature and physical demands of this activity and the inherent risks, hazards and dangers associated with this activity.
I certify that I am fully capable of participating in this activity. Therefore, I assume and accept full responsibility for myself, including all minor children in my care, custody and control, for bodily injury, death or loss of personal property and expenses as a result of those inherent risks and dangers identified herein and those inherent risks and dangers not specifically identified, and as a result of my negligence in participating in this activity.
I have carefully read, clearly understood and accepted the terms and conditions stated herein and acknowledge that this agreement shall be effective and binding upon myself, my heirs, assigns, personal representative and estate and for all members of my family, including minor children.
1)______
Signature Date Under 18, signature of parent/guardian Date