207-338-6424
fax: 810-963-7231
Waiver of Liability / Release Form
IMPORTANT: THIS IS A LEGAL DOCUMENT.
Please read and understand this document before signing.
Water Walker Sea Kayaks goes to great
lengths to assure that our guests experience an enjoyable and safe experience
while participating in a sea kayaking activity, including careful planning,
careful monitoring of weather conditions, and use of top quality
equipment. We wish to inform our guests that a sea kayaking activity is
not risk free. We do not want to alarm you unnecessarily or to reduce your
enthusiasm for the experience, but we do want you to know in advance what to
expect, and to be informed of some of the possible risks. We ask that you
read this, sign it, and return it to us.
I,
_________________________________________ (please print) understand and
acknowledge that the sea kayak instruction or trip I am undertaking is
physically and emotionally demanding and involves significant risks and
hazards, such as collision with power boats, hypothermia, joint or trauma
injuries, and even drowning. I am fully capable of participating in this
activity, and will and do assume the risk of mortal or serious accident,
injury, and loss of equipment. In addition to the risks inherent in sea
kayaking, wilderness adventuring and cold-water ocean travel have numerous
unpredictable hazards and stresses.
I am voluntarily and willingly
choosing to engage in the sport of sea kayaking, and I fully understand and
accept the risks associated with it. I also understand that while my
instructors or guides have first aid training, they are not trained in
extensive emergency medical procedures and that in the event of a serious
medical emergency, treatment may be several hours away. I give my permission to
the guides, instructors, and other participants on this trip to seek medical
emergency treatment for me, even to the extent that I am unconscious or can't
otherwise consent.
I agree to exercise all necessary caution during any
instructionals and on any trip and to obey the safety requirements of those
assisting me. I also agree to inform Water Walker Sea Kayaks of any significant
aspects of my physical condition or medical history that might increase the
risk to myself or others. I understand that I (and my existing insurance
coverages) will cover any cost or other liabilities I may incur during this sea
kayak activity.
I HAVE CAREFULLY READ AND CONSIDERED THIS
INFORMATION AND RELEASE and FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT I AM
RELEASING CERTAIN RIGHTS that I otherwise may have and enter into this contract
on behalf of myself and my family in consideration of being allowed to
participate in this activity. I therefore totally release and absolve Water
Walker Sea Kayaks, Ray Wirth, and all other guides and participants of this
activity from any blame, negligence, undue responsibility, or liability of any
sort. I also give permission for photographs to be taken during this trip and
used by Water Walker Sea Kayaks for promotional purposes.
Signature of
Participant:_______________________________________________
Name
(Please print):
_________________________________________________
Address:
________________________________________________________________________
Date:
_____________________________________________
Signature of Parent /
Guardian (if under age 18) ____________________________________________________
Date:___________________________