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About Kayaks River Rentals

25 Airport Drive West • Sebastian, FL 32958
Phone: 772-589-3469 Fax:  772-581-9010
Website: www.aboutkayaks.net

Participation Agreement, Release and Assumption of Risk

Participation Agreement, Release and Assumption of Risk 

In consideration of the services of About Kayaks River Rentals, its agents, owners, officers, volunteers, participants, employees, and all other persons or entities acting in any capacity on its behalf (herein collectively referred to as “About Kayaks”), I hereby agree to release and discharge About Kayaks on behalf of myself, my children, my parents, my heirs, assigns, personal representative and estate as follows:

  1. I acknowledge that kayaking entails known and unanticipated risks, which could result in physical or emotional injury, paralysis, death or damage to myself, to property, or to third parties. I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity. The risks include, among other things: boat capsizing, tidal conditions and currents, travel in remote areas, collision with other objects or watercraft, prolonged exposure to cold water, hypothermia, accidental drowning, mental anguish or trauma, illness in remote areas, exposure to strong wind and sun, cold storms, large waves, eddies and whirlpools, lightning, aggressive and/or poisonous wildlife, wrist, arm, shoulder or back injuries, slips and falls while hiking, and rapidly changing and adverse weather and water conditions.

  2. I expressly agree and promise to accept and assume all risks existing in this activity. My participation is purely voluntary, in spite of the risks.

  3. I hereby voluntarily release, forever discharge and agree to indemnify and hold harmless About Kayaks from any and all claims, demands, or causes of actions, which are in any way connected with my participation in this activity or my use of About Kayak’s equipment and facilities, including any such claims which allege negligent acts or omissions of About Kayaks.

  4. I certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating, or else I agree to bear the costs of such injury or damage myself. I further certify that I am willing to assume the risk of any medical or physical condition that I may have.

  5. In the event that I file a lawsuit against About Kayaks, I agree to do so solely in the state of Florida, and I further agree that the substantive law of that state shall apply in that action without regard to the conflict of the lawful rules of that state. I agree that if any part of this agreement is found to be void or unenforceable, the remaining portion shall remain in full force and effect.
     
  6. By signing this document, I acknowledge that if anyone is hurt or property is damaged during my participation in this activity, I may be found by a court of law to have waived my right to maintain a lawsuit against About Kayaks on the basis of any claim from which I have released them therein.
     
  7. I have had sufficient time to read this entire document. I have read and understood it, and I agree to be bound by its terms.

  8. I hereby authorize any medical treatment deemed necessary in the event of injury while participating in this activity. I have either appropriate insurance, or, in its absence, agree to pay all costs of rescue and/or medical services as may be incurred on my/our behalf.

I have read the release of liability on Page 1 and, by signing, agree to hold harmless About Kayaks River Rentals and its agents. I attest I am capable of performing the activity and no one has coerced or forced me to participate.

_______

Email addresses are requested only for the purpose of online registration and for occasional promotions. They will never be shared or sold.

Services may be declined for purposes of safety, such as known adverse weather conditions.


 

            

 

 

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Emergency Contact

Emergency Contact Phone Number *
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Second Participant's Date of Birth*
Second Participant's Emergency Contact

Emergency Contact Phone Number *
Second Participant's Signature*
Third Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Third Participant's Date of Birth*
Third Participant's Emergency Contact

Emergency Contact Phone Number *
Third Participant's Signature*
Fourth Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Fourth Participant's Date of Birth*
Fourth Participant's Emergency Contact

Emergency Contact Phone Number *
Fourth Participant's Signature*
Fifth Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Fifth Participant's Date of Birth*
Fifth Participant's Emergency Contact

Emergency Contact Phone Number *
Fifth Participant's Signature*
Sixth Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Sixth Participant's Date of Birth*
Sixth Participant's Emergency Contact

Emergency Contact Phone Number *
Sixth Participant's Signature*
Seventh Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Seventh Participant's Date of Birth*
Seventh Participant's Emergency Contact

Emergency Contact Phone Number *
Seventh Participant's Signature*
Eighth Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Eighth Participant's Date of Birth*
Eighth Participant's Emergency Contact

Emergency Contact Phone Number *
Eighth Participant's Signature*
Ninth Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Ninth Participant's Date of Birth*
Ninth Participant's Emergency Contact

Emergency Contact Phone Number *
Ninth Participant's Signature*
Tenth Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Tenth Participant's Date of Birth*
Tenth Participant's Emergency Contact

Emergency Contact Phone Number *
Tenth Participant's Signature*
Parent's or Legal Guardian's Email Address

Email*

Confirm Email*
Check the box to receive information, news, and discounts by e-mail.
Date and Event

Date of Kayaking Event *
Event Type: Basic Self-Tour or Scheduled Special Event *
Basic Self-Tour - Unscheduled - You Choose the Date and Time!
River-Park Group Adventure - Pre-planned with you!
Custom-Designed Event - Pre-planned with you!
Kayak Choice(s):

Single #

Double #

# of Participants in this Registration

Services may be declined for purposes of safety, such as known adverse weather conditions.

How did you find us?
How did you find us?*

Thank you for being specific!

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's or Legal Guardian's Name

First Name*

Middle Name

Last Name*

Relationship*

Phone*
Parent's or Legal Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent's or Legal Guardian's Emergency Contact

Emergency Contact Phone Number *
Parent's or Legal 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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