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Driftwood Water Adventures
WATER ACTIVITIES RELEASE OF LIABILITY
Kayaks * Canoes * Paddleboards

RELEASE OF LIABILITY: This form is an important legal document. It explains the risks you are assuming by participating in any type of water sport/activity. It is critical that you read and understand it completely.
Waiver and Covenant Not to Sue: I have volunteered to participate in a water sport/activity under the di- rection of Driftwood Adventures, LLC (DWA), which may include, but not be limited to, kayaking, paddle- boarding, and/or canoeing. In consideration of DWA agreement to instruct, assist, train, rent and/or have use of their equipment, I do here and forever release, discharge, and hereby hold harmless DWA and their respec- tive agents, heirs, assigns, contractors, employees, trainers, instructors, and volunteers, and if applicable, the Municipalities of Bristol Borough, Bristol Township, and Falls Township, and the County of Bucks, their insurers, any land owners and lessors, municipal and/or government agencies upon whose property the activity is conducted from any and all claims, demands, damages, rights of action or causes of action, present or future, arising out of or in connection with my participation in this or any activity, including any injuries re- sulting there from. If, however, I observe any unusual, significant hazards during this activity, I will remove myself from participation. Assumption of Risk: Participation in this activity is purely voluntary. The risk of injury involved in this activity is significant, including the potential for permanent paralysis and death, and while personal ability may reduce this risk, the risk of serious injury does exist. I understand that as a result of my participation in this activity, I could suffer an injury or physical disorder that could result in my becom- ing partially or totally disabled and incapable of performing any gainful employment or having a normal social life. I assume full responsibility for all of the risks of the activity, whether identified or not, for myself and any minor child(ren) under my care, for any bodily injury, accident, illness, paralysis, death, loss of personal prop- erty and/or expenses thereof as a result of any accident which may occur while participating in the activity. I hereby authorize any first aid or medical treatment deemed necessary in case of an emergency. I also au- thorize the attending medical personnel to execute on my behalf any permission forms and other appropriate medical documents and act on my behalf if I am not immediately able to do so.

I Acknowledgment and Agreements: There are significant elements of risk in any water sport or activity associated with the use or presence of watercraft, including, but not limited to, canoes, kayaks, paddleboards, and the use of related equipment. These risks are inherent in water activities and may be present even when the equipment is used properly and in still water. I acknowledge that some, but not all, risks of participating in water sport activities include: (1) changing water flow, tides, current, wave actions, and/or ships’ wakes; (2) collision with other participants, their equipment, the watercraft, other watercraft, and any man-made or natural objects; (3) wind sheer, inclement weather, lightning, variances or extremes of wind, weather or tem- perature; (4) my sense of balance, physical coordination, ability to operate equipment, swim and/or follow di- rections; (5) collision, capsizing, sinking or other hazards which may result in wetness, injury, exposure to the elements, hypothermia, and/or drowning; (6) the presence of insects and marine life; (7) equipment failure or operator error; (8) heat from sun-related injuries or illness, including sunburn, sunstroke or dehydration; (9) fatigue, chill and/or dizziness which may diminish reaction time and increase the risk of an accident. In any event, I acknowledge and agree that I assume the risks associated with any and all activities, and/or training in which I participate. I acknowledge and agree that no warranties or representations have been made to me regarding the results I will achieve from this program and/or activity. I understand that results are individual and may vary. I agree to obey my instructor(s), trainer(s), guide(s), and/or rental agent(s) and willingly agree to comply with the stated and customary terms and conditions for participation. I understand it is man- datory to wear protective footwear, i.e. water shoes, sandals, sneakers, etc. I agree to wear a properly fitted and fastened U.S. Coast Guard-approved personal flotation device (pfd) while aboard a boat and while on or in the water. Media Release: I also grant permission for DWA to take photographs, videos, and/or digital re- cordings of me during this activity to use in any and all media, now or hereafter. I do hereby release to DWA and its employees all rights to exhibit this work in print and electronic form, publicly or privately, and to mar- ket and sell copies. I waive any rights, claims, or interest I may have to control the use of my identity or like- ness in whatever media used. I understand that there will be no financial or other remuneration for recording me, either for initial or subsequent transmission or playback.

I have read and understand this Release of Liability. I understand it involves surrendering valuable legal rights. I agree to be bound by all terms of this Release and that it cannot be modified orally.

Today's Date: May 18, 2025

 Children need to be 5 years or older to participate in Driftwood sponsored activities. 

First Participant's Name
First Name*
Last Name*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
First Participant's Information
Children need to be 5 years or older to participate in Driftwood sponsored activities.*
First Participant's Signature*
Second Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Second Participant's Information
Children need to be 5 years or older to participate in Driftwood sponsored activities.*
Third Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Information
Children need to be 5 years or older to participate in Driftwood sponsored activities.*
Fourth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Information
Children need to be 5 years or older to participate in Driftwood sponsored activities.*
Fifth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Information
Children need to be 5 years or older to participate in Driftwood sponsored activities.*
Sixth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Information
Children need to be 5 years or older to participate in Driftwood sponsored activities.*
Seventh Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Information
Children need to be 5 years or older to participate in Driftwood sponsored activities.*
Eighth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Information
Children need to be 5 years or older to participate in Driftwood sponsored activities.*
Ninth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Information
Children need to be 5 years or older to participate in Driftwood sponsored activities.*
Tenth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Information
Children need to be 5 years or older to participate in Driftwood sponsored activities.*
Parent or Guardian's Email Address
Email*
Confirm Email*
Children need to be 5 years or older to participate in Driftwood sponsored activities. CONSENT AND RELEASE ON BEHALF OF MINOR - MUST BE COMPLETED FOR ALL PARTICIPANTS UNDER 18 YEARS OLD: I am the parent and/or legal guardian of the above-named minor. I give my consent to the participation in DWA activities by the above-named minor. I have read and understand this Release of Liability. I understand it involves surrendering valuable legal rights of the minor and my- self. I agree to be bound by all terms of this Release and that it cannot be modified orally.


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*
Participant's Age Acknowledgment*
Parent or Guardian's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
Parent or Guardian's Information
Children need to be 5 years or older to participate in Driftwood sponsored activities.*
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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