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ASSUMPTION OF RISK AND RELEASE OF LIABILITY

Notice: This release form is a contract with legal consequences. Please read carefully before signing.

Prior to using Anacostia Riverkeeper (“ARK”) boats, equipment, and facilities, or otherwise engaging in activities organized by ARK, I hereby freely and voluntarily agree to the following representations, waivers, and agreements.

I know and understand that boating, fishing, picking up trash, and monitoring water quality are activities that entail known and unanticipated risks that could result in personal injury, property damage, and death. I agree to assume these risks and release and forever discharge Anacostia Riverkeeper, its Officers, Board of Directors, Employees, and Agents, and all vessels and facilities owned and/or operated by Anacostia Riverkeeper (hereinafter “Released Parties”) from any and all liability, damages, claims, or causes of action, arising out of or in any way connected with participation in ARK sponsored activities, and to indemnify and hold forever - harmless ARK from liability, damages, claims, or causes of action or brought by myself or by anyone on my behalf as a result of, or in any way connected with, my participation in boat tours, fishing, trash cleanups, or any other ARK activity.

I agree for myself, and for the members of my family participating with me, to the following:

1. I agree to observe and obey all posted rules and warnings, and further agree to follow any oral instructions or directions given by ARK, or the employees, representatives or agents of ARK, including wearing protective gear thus prescribed.

2. I recognize that there are certain inherent risks associated with the above-described activity, attest that I and my family are physically capable of performing the activity, and I assume full responsibility for personal injury to myself and (if applicable) my family members, and further release and discharge ARK for injury, loss or damage arising out of my or my family's use of or presence upon the facilities of ARK, whether caused by the fault of myself, my family, ARK, or other third parties.

3. I agree to indemnify and defend ARK against all claims, causes of action, damages, judgments, costs or expenses, including attorney fees and other litigation costs, which may in any way arise from my or my family's use of or presence upon the facilities of ARK.

4. I agree to be photographed and recorded on video by ARK for archival and promotional purposes.

5. Any legal or equitable claim that may arise from participation in the above shall be resolved under District of Columbia law.

I HAVE READ THIS DOCUMENT AND UNDERSTAND IT. I FURTHER UNDERSTAND THAT BY SIGNING THIS RELEASE, I VOLUNTARILY SURRENDER CERTAIN LEGAL RIGHTS.

 

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*
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*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
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.
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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