Loading...

RELEASE OF LIABILITY – READ BEFORE SIGNING

In consideration of being allowed to participate in any way in the Whitewater Challengers program, its related events and activities, including but not necessarily limited to activities like whitewater rafting, hiking, biking, paintball, disc golf, kayaking, canoeing, camping, ziplining, geocaching, and other outdoor activities, I, the undersigned, acknowledge, appreciate, and agree that: 

  1. The risk of injury or illness from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular skills, equipment, and personal discipline may reduce this risk, the risk of serious injury or illness does exist; and in certain circumstances (swiftwater rescue, raft rescue, first aid, etc.) social distancing from guests or employees may be impossible.
     
  2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and I assume full responsibility for my participation; and, 
     
  3. I willingly agree to comply with the stated and customary terms and conditions for participation, including any age, weight, height or other requirements that may apply. I understand that I must wear shoes or booties, and an approved personal flotation device at all times while rafting. I am in good health, I understand that physical exertion may be required, and I have no known physical disabilities or health problems that will present any risk to my participation in the program. If 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 Company immediately; and, 
     
  4. I permit the use of any photos or video of me taken during the day’s activities for publicity, advertising, other commercial purpose; and 
     
  5. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS WHITEWATER CHALLENGERS, their owners, officers, officials, agents and/or employees, other participants, licensors, licensees, subcontractors, affiliates, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of premises used for the activity (hereinafter “Releasees”), WITH RESPECT TO ANY AND ALL INJURY, ILLNESS, DISABILITY, DEATH, or loss or damage to person or property associated with my presence or participation in any part of the Whitewater Challengers program, from the time of my arrival at Whitewater Challengers until my final departure therefrom, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law; and 
     
  6. Any claims or disputes arising from my participation in this program shall be venued in the Luzerne County Court in the town of Wilkes Barre, PA or in the Supreme Court of the State of Pennsylvania. 

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 Signed: December 2, 2020

First Participant's Name

First Name*

Last Name*
First Participant's Date of Birth*
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*
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*
Check to receive information, news, and discounts by e-mail.
A signed copy of this waiver will be sent to the email address you provide.
How did you hear about us?
How did you hear about us?
Web search
Facebook
Instagram
From a friend, coworker or family member
Online review site
Brochure or Flyer
Other
I don't remember
What other activities are you participating in while in the area?
Water park
Historic attractions
Golfing
Shopping
Hiking or outdoor recreation
Other
What other activities would you be interested in booking other than what we currently offer (rafting, biking, paintball, onsite camping & onsite meals)?
Adult only weekends
Family oriented weekends
Halloween themed events
Charity events
I like what you currently offer
FOR PARENTS/GUARDIANS OF PARTICIPANTS OF MINORITY AGE (Under age 18 at time of registration): This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releases, and, for myself, my child and our heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child’s involvement or participation in these programs as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law.
Parent or Guardian's Name

First Name*

Last Name*
Parent or Guardian's 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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!