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STANDUP PADDLEBOARD LESSONS & RENTAL WAIVER, RELEASE AND AGREEMENT

(Please read completely before signing and ask questions if there is anything you do not understand. In consideration of being allowed to participate in any way in Peterborough Stand Up Paddle ("Ptboro SUP") lessons, rentals, related events and activities, the undersigned acknowledges, appreciates and agrees that:

  1. Stand up paddleboards, leashes, paddles, all equipment used in the sport and the natural surroundings, including water, docks, rocks, and shoreline areas are potentially hazardous objects; and  lake and river conditions can change quickly, the water may decrease in temperature rapidly, wave height may increase or decrease, visibility in the water may fluctuate, current may be strong, or depth of water will change, under and above water obstacles such as rocks may be present and I respect the lake and river’s power.
     
  2. An SAE approved Personal Floatation Device and SUP leash were provided and I acknowledge that Ptboro SUP has encouraged me to wear them at all times while paddling; and  I will not approach any obstacle or object, including but not limited to boat wakes, shorelines, shallow water, rocks, or docks, in an unsafe manor such as remaining in a standing position.
     
  3. The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment and discipline may reduce this risk, the risk of  injury does exist.
     
  4. I have no preexisting medical or other condition that would affect the safe participation in these activities;  or I have consulted my physician as to the advisability of participating in these activities; and I will inform Ptboro SUP of any changes in my health or physical condition prior to any lesson or rental; and
     
  5. I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of the releasees or others, and assume full responsibility for my participation; and
     
  6. I willingly agree to comply with the stated and customary terms and conditions for participation.  If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest PtboSUP staff immediately; and
     
  7. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release and hold harmless Kelly Zak and PtboSUP, their officers, officials, volunteers, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of premises used to conduct the activities (“Releases”), with respect to any and all injury, disability, death, or loss or damage to person or property, whether caused by the negligence of the releasees or otherwise.


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

Date: July 18, 2018

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 Signature*
Second Participant's Name

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email
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A signed copy of this waiver will be sent to the email address you provide.
This is to certify that I, as parent/guardian with legal responsibility for this /these participant/s, 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 the Releasees from any and all liabilities incident to my minor child/s' involvement or participation in these programs as provided 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 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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