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Please take a moment to complete our online boat tour waiver prior to your arrival to help expidite the check-in process. Please note! Each participant in your group must complete a separate waiver.

Thank you! We look forward to seeing you soon!

 

TOURS

DILLON MARINA MEDICAL AUTHORIZATION AND LIABILITY RELEASE
THIS IS A RELEASE OF LIABILITY: PLEASE READ CAREFULLY BEFORE SIGNING

I (and in the event that the participant is a minor, the parents or guardians) hereby authorize all persons or entities connected with the Town of Dillon, Inc. including their agents, employees and assigns, to arrange for such medical treatment and hospitalization as may be required by me/my child, including the administration of anesthesia, drugs and surgical services in the event that such care and treatment is necessary because my/my child’s participation in the tours provided by the Town of Dillon, Inc. I also guarantee payment for all services rendered by any physician and/or hospital in the course of such care and treatment.

May be contacted for medical history information if necessary.

I Agree

I (and in the event that the participant is a minor, the parents or guardians) realize and acknowledge that boating has inherent risks and hazards, that I may be subject to serious or fatal injury from this activity, and that no form of pre-planning can eliminate all the dangers that I may expose myself to, including, but not limited to, rough water, natural obstacles, submerged debris, the boat which might capsize, inclement weather and other persons engaged in water-related activities.

I (AND IN THE EVENT THAT THE PARTICIPANT IS A MINOR, THE PARENTS OR GUARDIANS) HEREBY ASSUME ALL RISKS IN CONNECTION WITH THIS ACTIVITY AND DO HEREBY RELEASE THE TOWN OF DILLON, INC. THEIR OWNERS, AGENTS, EMPLOYEES AND ASSIGNS FROM ANY AND ALL THE LIABILITY, NEGLIGENCE OR BREACH OF WARRANTY FOR ANY INJURIES AND/OR DEATH TO MYSELF/MY CHILD OR DAMAGE TO PROPERTY, AND FROM ANY CLAIM BY ME, MY FAMILY, ESTATE, HEIRS, OR ASSIGNS ARISING DIRECTLY OR INDIRECTLY FROM OR IN ANY WAY CONNECTED WITH MY PARTICIPATION IN THIS ACTIVITY.

I HAVE CAREFULLY READ THE FOREGOING RELEASE, UNDERSTAND ITS CONTENTS, AND SIGN IT OF MY OWN FREE WILL WITH FULL KNOWLEDGE OF ITS SIGNIFICANCE.

Today's Date: June 16, 2025

First Participant's Name
First Name*
Last Name*
Phone*
First Participant's Date of Birth*
Date of Birth
First Participant's Information
Dr.:
Dr. Phone:
First Participant's Signature*
Second Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Second Participant's Information
Dr.:
Dr. Phone:
Third Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Information
Dr.:
Dr. Phone:
Fourth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Information
Dr.:
Dr. Phone:
Fifth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Information
Dr.:
Dr. Phone:
Sixth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Information
Dr.:
Dr. Phone:
Seventh Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Information
Dr.:
Dr. Phone:
Eighth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Information
Dr.:
Dr. Phone:
Ninth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Information
Dr.:
Dr. Phone:
Tenth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Information
Dr.:
Dr. Phone:
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*
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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.


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 Information
Dr.:
Dr. Phone:
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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