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Grassroots Events, LLC.
(DBA CANYON VOYAGES ADVENTURE CO. – CVAC)
ASSUMPTION OF RISK WAIVER AND RELEASE AGREEMENT
READ CAREFULLY BEFORE SIGNING – YOU ARE GIVING UP LEGAL RIGHTS
YOU ARE RESPONSIBLE FOR ADVISING ALL MEMBERS OF YOUR PARTY OF THE FOLLOWING RISKS. 

The following agreement is made in consideration for rental of CVAC boats(s) and/or equipment to be used on an area/ river/lake section.

Assumption of Risk: I understand and accept that rafting, canoeing and kayaking exposes me to many hazards, and participating in a river trip entails unavoidable risks including but not limited to: slips and falls, sunburn, dehydration, hypothermia, drowning, cuts and bruises, death and loss or damage to property. I also understand I should be in good physical health to participate in a river trip. I choose to participate in this trip in spite of these risks and hereby assume all risk of injury or loss of life to myself and loss of damage to property arising out of my participation in such a trip. I fully understand that I will be traveling at my own risk.

Waiver and Release: In consideration of Canyon Adventures, Inc. (hereinafter referred to as CVAC) furnishing services and equipment to help me make this trip, I specifically release and forever discharge CVAC and its officers, agents, and employees from any and all liability or claims for any injury or damage to myself or my property sustained in connection with the trip, including, but not limited to, liability or claims for injury, illness, death or damage caused by the negligence of CVAC or its officers, agents or employees. It is my intent by signing this Waiver and Release to release CVAC and hold it harmless from all liability for any such property loss or damage, personal injury or loss of life, whether caused by the negligence of CVAC or whether based upon breach of contract, breach of warranty or any other legal theory.

I understand that this is a rental trip. No CVAC guide will be on the water to help me if I have a problem. If I am unwilling to assume these risks and other risks described in this form, CVAC will give me a full refund.

I understand that weather conditions and water conditions may present hazards. I take responsibility for researching and knowing water levels and weather conditions. I take responsibility for having the proper equipment and adequate experience for the weather or water conditions I may encounter.

I understand that if I have any questions or concerns before going on this trip, I can ask a CVAC staff member for help.

I understand that a properly sized, adjusted, and buckled personal flotation device is critical to my safety. I will wear it at all times while on the water. If I am unsure of fit, I will ask CVAC staff for help.

I understand the risks involved in transporting rented equipment to and from CVAC premises. I accept any and all risks of injury and damage to rented equipment, to property belonging to myself and others personally, which risks are related to transporting rented equipment.

I confirm that I have fully and honestly provided information about my abilities and experience with similar activities and equipment, and I have revealed any known health or physical limitations that may impact my ability to participate. It is my intention to specifically release CVAC and its officers, agents, and employees from any liability for the failure to accurately evaluate my ability to participate in the activity.

The activity associated with this Rental Agreement is rafting, canoeing, kayaking and paddle boarding. I understand that the Release of Liability is intended to cover the above activity, as well as transportation to and from the activity. I understand that if the rental equipment is used for any other purpose than the specified activity that I will be responsible for all injury or damage to myself, other persons and property including the rented equipment.

I understand that the rental equipment may malfunction, break or become inoperable. I understand that these are inherent risks of my activity and assume all risk of injury or damage arising from equipment malfunction.

The venue of any dispute that may arise out of this agreement or otherwise to which CVAC or its agents is a party shall be Grand County, Moab, Utah.

Dated: October 21, 2018

First Participant's Name

First Name*

Last Name*

Phone*
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*

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

First Name*

Last Name*

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

First Name*

Last Name*

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

First Name*

Last Name*

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

First Name*

Last Name*

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

First Name*

Last Name*

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

First Name*

Last Name*

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

First Name*

Last Name*

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

First Name*

Last Name*

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

Email
A signed copy of this waiver will be sent to the email address you provide.
Reservation Information

RENTAL RESERVATION GROUP NAME: *

Trip Date: *
SIGNATURE OF ACCEPTANCE AND PARENT/GUARDIAN INDEMNIFICATION: I HAVE READ THIS RELEASE OF RESPONSIBILITY AND ACKNOWLEDGEMENT OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS AND UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT. I HAVE HAD THE OPPORTUNITY TO ASK QUESTIONS ABOUT THIS AGREEMENT AND MY QUESTIONS HAVE BEEN FULLY ANSWERED. I UNDERSTAND THAT IF I DISAGREE WITH THE TERMS OF THIS AGREEMENT I HAVE THE OPTION NOT TO PARTICIPATE IN THE ACTIVITY. WITH FULL UNDERSTANDING OF THIS AGREEMENT, I SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
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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