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Liability Waiver

Please read and sign below

I do hereby acknowledge that boating and snorkeling have inherent risks and dangers including but not limited to risks associated with perils of the sea, inclement weather and sea conditions and equipment failure, and I specifically assume such risks. I further understand that these risks can lead to serious injury, paralysis and death. I acknowledge that I am physically and mentally capable of participating successfully in boating and/or snorkeling, that I am not under the influence of drugs or alcohol, and if I am taking medications or have health conditions, I affirm that I have seen a physician, and have approval to participate in these activities. I acknowledge that if I have any of the following medical conditions: heart issues, high blood pressure, high cholesterol, diabetes or asthma, I am hereby advised by Pacific Whale Foundation to NOT participate in snorkeling activities. If I have approval from my physician to snorkel, my in-water activity should be limited to within 50 feet of the vessel at all times. I acknowledge that there have been fatalities in Maui County as a result of snorkeling and in-water activity.

I understand that for my safety all cruises, in part or whole are, weather permitting; and that Captains may use their discretion in choosing alternative sites, vessels or equipment. I understand that photos of passengers may be used in promotion material.

By signing this document I release my rights, and my heirs rights, to sue Pacific Whale Foundation Eco Adventures, its subsidiaries, officers, employees and/or agents (collectively “Releases”) for personal injuries or wrongful death that may occur during the forthcoming activities as a result of the inherent risks or as a result of negligence; as all activities are at my own risk. I also agree to defend, indemnify and hold harmless the Releases from any loss, liability, damage or cost they may incur arising out of or related to my/our participation in the activities listed above.

***ALL MEMBERS OF YOUR PARTY MUST READ AND SIGN THIS FORM. Parent or Guardian, please sign for any minors (under 18 years old)

If any provision of this agreement is found to be unenforceable or invalid, that provision shall be severed from this contract. The remainder of this contract will then be construed as though the unenforceable provision had never been contained in this document.

Dated: March 29, 2020

First Participant's Name

First Name*

Last Name*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Information

Trip:
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information

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Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information

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Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information

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Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information

Trip:
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information

Trip:
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information

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Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information

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Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information

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Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information

Trip:
Participant'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*
Check to receive information, news, and discounts by e-mail.
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.
Parent or Guardian's Name

First Name*

Last Name*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Information

Trip:
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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