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CONTRACTUAL ASSUMPTION ACKNOWLEDGEMENT OF RISKS AND LIABILITY WAIVER AND

RELEASE AGREEMENT

IN CONSIDERATION of being permitted to participate in the charter/tour/rental/class provided by Lazy

Dog Adventures, LLC for myself and/or any minor children for whom I am the legal parent/guardian or

otherwise responsible, and for my/our heirs, personal representatives or assigns:

ACKNOWLEDGEMENT OF RISKS

I fully acknowledge that some, but not all of the risks of participating in the charter in which I am about to

engage may include (1) wind shear, inclement weather, lightning, variances and extremes of wind,

weather and temperature; (2) any sense of balance, physical condition, ability to operate equipment,

swim and/or follow directions; (3) collision, capsizing. sinking or other hazard which result In wetness,

injury, exposure to the elements, hypothermia, impact of the body upon the water, injection of water into

my body orifices, and/or drowning; (4) the presence of insects and marine life forms; (5) equipment

failure, operator error, transportation accidents; (6) heat or sun related injuries or Illness, including

sunburn, sunstroke or dehydration; (7) fatigue, chill, and/or dizziness which may diminish my/our reaction

time and increase the risk of an accident; (8) slippery deck/gear (9)kayaking or paddleboarding

I specifically acknowledge I have been given instructions/training in the safe use of the type of equipment

used during this charter to my complete satisfaction, and I am physically/mentally able to participate in the

charter/tour/rental/class which I am about to engage. **IF AFTER YOUR INSTRUCTION, YOU FEEL THE

LESSON WAS INADEQUATE, PLEASE SEE YOUR GUIDE FOR CANCELLATION OF YOUR

ACTIVITY**

CONTRACTUAL/EXPRESS ASSUMPTION OF RISK AND RESPONSIBILITY

I fully agree to assume all responsibility for all the risks of the charter/tour/rental/class to which I am about

to engage, whether identified above or not (I FULLY UNDERSTAND THAT I UNDERTAKE EVEN THOSE

RISKS ARISING OUT OF THE NEGLIGENCE OF THE RELEASEES NAME BELOW) My/Our

participation in the charter is completely voluntary. I assume full responsibility for myself and any of my

minor children for whom I am responsible. This responsibility that I assume on my behalf and that of my

minor children, or those children for whom I am legally responsible, extends to any bodily Injury,

accidents, illnesses, paralysis, death, loss of personal property and expenses thereof as a result of any

accident which may occur while we participate in the activity. I COMPLETELY UNDERSTAND AND

AGREE TO ACCEPT ALL RESPONSIBILITY ON BEHALF OF MYSELF AND MY MINOR CHILDREN,

OR THOSE CHILDREN FOR WHOM I AM LEGALLY RESPONSIBLE, EVEN IF THESE INJURIES,

DEATH, OR LOSS OF PERSONAL PROPERTY ARE CAUSED IN WHOLE OR IN PART BY THE

NEGLIGENCE OF THE RELEASEES NAMED BELOW.

I HEREBY RELEASE LAZY DOG ADVENTURES, LLC THEIR AFFILIATED AND RELATED

COMPANIES, THEIR PRINICIPALS, DIRECTORS, OFFICERS, AGENTS, EMPLOYEES, AND

VOLUNTEERS. THEIR INSURERS, AND EACH AND EVERY LANDOWNER, MUNICIPAL AND/ OR

GOVERNMENTAL AGENCY UPON WHOSE PROPERTY AND ACTIVITY IS CONDUCTED, AS WELL

AS THEIR INSURERS, IF ANY, FROM ANY AND ALL LIABILITY OF ANY NATURE FOR ANY AND ALL

INJURY OR DAMAGE (INCLUDING DEATH) TO ME OR MY MINOR CHILDREN AS WELL AS OTHER

PERSONS AS A RESULT OF MY/OUR PARTICIPATION IN THE ACTIVITY, EVEN IF CAUSED BY MY

NEGLIGENCE OR BY THE NEGLIGENCE OF ANY OF THE RELEASEES NAMED ABOVE, OR ANY

OTHER PERSON (INCLUDING MYSELF).

I have read this assumption and acknowledgement of risks and release of liability agreement I understand

fully that it is contractual in nature and binding upon me personally. I further understand that by signing

this document I am waiving valuable legal rights including any and all rights I may have against the

owner, the operator named above, or their employees, agents, servants or assigns. I FULLY AGREE IN

CONSIDERATION FOR BEING ALLOWED TO PARTICIPATE IN THE TOUR/RENTAL/CLASS TO HOLD

HARMLESS AND IDEMNIFY THE OWNER, THE OPERATOR NAMED ABOVE OR THEIR

EMPLOYEES, AGENTS, SERVANTS OR ASSIGNS FOR ANY INJURY WHICH MAY BEFALL ME, MY

MINOR CHILDREN OR THOSE CHILDREN FOR WHOM I AM LEGALLY RESPONSIBLE (INCLUDING

DEATH). and paste the body of your waiver here.


First Participant's Name
First Name*
Last Name*
Phone*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
First Participant's Signature*
Second Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email
Check to be added to our mailing list
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Last Name*
Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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