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Acknowledgement of Risks

Assumption of Responsibility& Release of Liability

TODAY'S DATE: July 2, 2025

There are significant elements of risk in any adventure, sport or activity associated with watercraft, including but not limited to canoes, kayaks, paddleboats, rafts, rowboats, tubes and motorized craft (referred to herein as activity) and the use of any equipment therewith.


ACKNOWLEDGEMENT OF RISKS: The risk of injury from the activities involved in this program or use of this equipment is significant including the potential for permanent paralysis and death. I realize that there are risks both known and unknown in the use of any watercraft and that the use of a craft in or upon water may involve hazards including but not limited to changing water flow or currents, trees, branches, rocks and boulders, submerged and/or semi-submerged objects; that varying wind and weather conditions, the presence of other watercraft, the speed at which I travel, the stability characteristics of a watercraft, equipment failure, and my sense of balance and inability to control the craft or follow orders can pose a dangerous risk to my safety; that certain potentially serious risks associated with this activity including but not limited to collision, upset, overturn, and sinking can result in getting wet, injured, exposed to the elements, and/or drowned; and that I may suffer accidents or illness in remote places where there are no available medical facilities. I realize that personal property may be lost or damaged; that certain foreseeable and unforeseeable events can contribute to the unpredictability of the risks, dangers and hazards and recommended precautions and procedures.


EXPRESS ASSUMPTION OF RISK AND RESPONSIBILITY: In recognition of the inherent risks of the activity which I or any minor children for which I am responsible, will engage in, I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS. I confirm that I am (we are) physically and mentally capable of participating in the activity and using the equipment. I/We participate willing and voluntarily and I assume full responsibility for personal injury, accidents or illness, including permanent paralysis and death. I assume all responsibility for damage to or loss of personal property as the result of any accident that may occur.

I assume the risk(s) of personal injury, accidents and/or illness, including but not limited to sprains, torn muscles, and/or ligaments, fractured or broken bones; eye damage; cuts, wounds, scrapes, abrasions and/or contusions; dehydration, drowning, oxygen shortage (anoxia), exposure and/or altitude sickness; head, neck and/or spinal injuries; animal bite or attack, insect bite, allergic reaction, shock, paralysis. And/or death; and acknowledge that if, during the activity, I/we experience fatigue, chill and/or dizziness my/our reaction time may be diminished and the risk of accident increased.

COVENANT OF GOOD FAITH: I recognize that you, as provider of services, will operate under a covenant of good faith and fair dealings, but that you may find it necessary to terminate an activity due to forces of nature, medical necessities or other problems, and/or refuse or terminate, the participation of the person you judge to be incapable of meeting the rigors or requirements of participating in the activity. I accept your right to take such actions for the safety of myself and/or other participants. I willingly agree to comply with terms and conditions for participation. If I observe any significant hazard during my presence or participation I will remove myself from participation and bring such to the attention of the nearest official immediately

AUTHORIZATION: I herby authorize and medical treatment deemed necessary in the event of any injury while participating in the activity. I either have appropriate insurance, or, in its absence, agree to pay all costs or rescue and/or medical services as may be incurred on my/our behalf.

RELEASE: In consideration of services or property provided, I, for myself and any minor children for whom I am parent, legal guardian or otherwise responsible, any heirs, assigns, personal representative and next of kin HEREBY RELEASE, INDEMNIFY AND HOLD HARMLESS OUTDOOR OUTFITTERS DBA GOOSE HUMMOCK, its principals, directors, officers, agents ,employees, volunteers other participants, sponsors, advertisers, and if applicable owners, lessees of premises, and each and every landowner, municipal and/or governmental agency (RELEASEES) upon whose property an activity is conducted, from any and all claims, demands, losses and liability arising 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 RELEASES OR OTHERWISE, to the fullest extent permitted by law.

I HAVE READ THE FOREGOING ACKNOWLEDGEMENT OF RISK, ASSUMPTION OF RISK AND RESPONSIBILITY, AND RELEASE OF LIABILITY AND FULLY UNDERSTAND ITS TERMS. I UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.


First Renter's Name
First Name*
Last Name*
Phone*
First Renter's Date of Birth*
Date of Birth
First Renter's Signature*
Second Renter's Name
First Name*
Last Name*
Renter's Date of Birth*
Date of Birth
Third Renter's Name
First Name*
Last Name*
Renter's Date of Birth*
Date of Birth
Fourth Renter's Name
First Name*
Last Name*
Renter's Date of Birth*
Date of Birth
Fifth Renter's Name
First Name*
Last Name*
Renter's Date of Birth*
Date of Birth
Sixth Renter's Name
First Name*
Last Name*
Renter's Date of Birth*
Date of Birth
Seventh Renter's Name
First Name*
Last Name*
Renter's Date of Birth*
Date of Birth
Eighth Renter's Name
First Name*
Last Name*
Renter's Date of Birth*
Date of Birth
Ninth Renter's Name
First Name*
Last Name*
Renter's Date of Birth*
Date of Birth
Tenth Renter's Name
First Name*
Last Name*
Renter's Date of Birth*
Date of Birth
Renter's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address
Email*
Confirm Email*
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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 Date of Birth*
Date of Birth
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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