***read before signing***
Participant’s Name (please print):______
In consideration of being allowed to participate in any way in the Northwest Canoe Touractivities,I the undersigned acknowledge, appreciate, and agree that:
1. I am aware that by wearing my lifejacket I greatly increase my chances for survival in the event of a water accident.
2. The risks in the activities involve damage to personal property and serious bodily injury, including permanent disability, paralysis, and death. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES(named below) or others, and I assume and accept full responsibility for my participation in the activities.
3. I understand the nature of paddlesports and related activities and I am qualified, in good health, in proper physical condition to participate in such activities and I will comply with the stated and customary terms and conditions of participation.
4. I, for myself, and on behalf of my heirs, assigns, personal representative and next of kin, hereby RELEASE, INDEMNIFY, and HOLD HARMLESS the Northwest Canoe Tour, its officers, officials, agents, and employees, other participants, sponsors, advertisers, and, if applicable, owners or lessors of premises used to conduct the activities (releasees), from ANYAND ALL CLAIMS, DEMANDS,LOSSES, ANDLIABILITYarising out of or related to any injury, disability, or death I may suffer, or loss or damage to person or property, whether arising from the negligence of the releasees or otherwise, to the fullest extent permitted by law.
I have read this release of liability and assumption of risk agreement, I fully understand its terms, I understand that I have given up substantial rights by signing it, and I sign it freely and voluntarily without any inducement.
X______
Participant’s Signature Driver’s License # Date
For parents/guardians of participant of minor age only (under age 18 at time of registration). Please fill out this additional section below.
This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the releasees, and for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the releasees from any and all liability incidents to my minor child’s involvement or participation in these programs as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law.
______
Parent/Guardian Name (Please Print) Emergency Phone Number
X______
Parent/Guardian Signature Date
Yes, please include me on email and/or mailing lists so that I can receive information on Northwest Canoe Tour activities and events!
My email address is: ______
My mailing address is:______