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Participant Release of Liability and Assumption of Risk Agreement
True Blue Inc. D.B.A Island Adventures, D.B.A. Da Life Outdoors

Aloha, True Blue Inc. welcomes you as a participant in a Waterfall Rappelling tour in one of Kauai’s wilderness canyons.

If you choose to go on the tour, you agree to be personally responsible for every move and every decision that you make and everything that you may encounter or be subjected to. You may be exposed to dangerous conditions, whether they are natural or man-made, or whether they arise from equipment failure, encounters with falling rocks, raising water levels, wild animals, insects, dangerous plants, or actions that you decide to do of your own volition. As these conditions can cause injury or sickness, True Blue Inc. will allow you to participate in the tour only if you consider your physical, mental, and emotional condition and the conditions you may encounter on the tour. In reaching your decision we ask you to do the following:

1. Acknowledge that there are potential dangers associated with a rappelling tour, swimming under waterfalls, possible jumping off cliffs into pools (which we do not allow) and climbing on slippery rocks and hiking on potentially dangerous routes in Kauai’s undeveloped areas. These dangers include: slipping, tripping or falling on rugged, slippery or boulder-strewn trails and stream beds; being struck by falling tree parts or rocks; collision with submerged objects; hitting the water when jumping; being exposed to the elements, changing weather and stream conditions, including suddenly rising stream waters; and equipment malfunction or failure. These dangers can result in sprains, strains, torn ligaments, torn muscles, broken bones, eye and ear damage, cuts, wounds, scrapes, abrasions, contusions, head injuries, neck injuries, rib injuries, spinal injuries, arm injuries, wrist and hand injuries, leg injuries, ankle and foot injuries, injuries to other parts of the body, drowning, hypothermia, exhaustion, sunburn, sunstroke, dehydration, poisoning, infections, oxygen shortage, animal or insect scratches and bites, shock, paralysis, or death.

2. Accept the instructions of the guides during the tour and adjust your equipment only with the guide’s help. 

3. Fully inform the True Blue Inc. guides of any defects in your physical, mental, or emotional abilities that may keep you from fully participating in the tour so they may help you determine if this extreme sport is appropriate for you. Please describe your adverse conditions by writing them on the back of this paper and by telling the guides.

4. Acknowledge that a danger of rappelling in undeveloped areas is the lack of immediately available medical facilities or health care greater than that which the True Blue Inc. guides can provide.

5. Agree to use your common sense in enjoying the rappelling tour, which includes staying with the tour group, staying on designated routes, wearing your helmet and all safety equipment at all times, using care when rappelling and hiking in streams and along cliffs, being wary of animals, and following all instructions of True Blue Inc. guides.

6. Agree to attempt to preserve the environment by not discarding paper, plastic, or non-biodegradable items and not removing plants.

7. Acknowledge that equipment may malfunction, even if checked on a regular basis.

8. Acknowledge that based on the weather conditions and/or water levels in the streams, the guides may determine that it is unsafe to rappel into streams/waterfalls, in which case alternative rappels outside of the streams will be used.

True Blue Inc. will allow you to participate in our tour only if you agreed to all of the above items.


Release

In exchange for allowing me to participate in the rappelling tour, I acknowledge that True Blue Inc. informed me of some of the less obvious risks and dangers associated with the rappelling tour in an undeveloped area. I hereby release True Blue Inc., D.B.A. Island Adventures, Da Life Outdoors, Da Life Outdoor Gear, Kauai Beach Boys, True Blue Charters, their officers, directors, partners, agents, and employees from any responsibility for damage to my person or property or any injury that results from the risks and dangers involved, or in the event that I leave the tour group, for any damage or injury that results. I also understand that I am giving up my right to bring a lawsuit against these entities or persons for damages or injuries that might result from my participation on the tour. 

Indemnity

If a lawsuit is brought against True Blue Inc., D.B.A. Island Adventures, Da Life Outdoors, Da Life Outdoor Gear, Kauai Beach Boys, True Blue Charters, their officers, directors, partners, agents, or employees for any damage or injury to me that results from the risks and dangers of participating in a rappelling tour, I agree to indemnify and hold harmless the entities and persons mentioned above from all claims being made in the lawsuit. 

I sign this Participation Agreement, Release and Indemnity Agreement knowingly and voluntarily after True Blue Inc. answered all of my questions to satisfaction. 


Waterfall Rappel Tour Restrictions

  • Rappellers must weigh between 70 lbs and 250 lbs.
  • Rappellers must have a waist measurement between 22 and 48 inches.
  • Rappellers must be a minimum age of 10 years old; this activity is not recommended for those over 65 years of age.
  • This tour is not appropriate for people with back problems, recent surgeries, bone/joint problems, heart, lung, or circulatory conditions, or women who are pregnant.
  • All Rappellers & Spectators must have good balance, be able to navigate slippery and uneven terrain, and climb up and down at least 30 flights of stairs without assistance.
  • This activity is intended for participants who are physically fit and enjoy rugged activities.

I have read and understand the above restrictions and certify that I am fit and able to participate in the Waterfall Rappel Tour. 


                                                        

                                                                                                                                     COVID-19 Health Policy

I certify that:

I have NOT been in contact with anyone in the past 2 weeks who has tested positive for COVID-19 

I Agree

I have NOT had a fever in the past 72 hours

I Agree

I am currently NOT experiencing any symptoms of covid-19 (shortness of breath, cough, or other respiratory symptoms,etc.)

I Agree

 

Today's Date: April 30, 2025

First Participant's Name

First Name*

Last Name*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Information

Please list any health and/or medical problems that your guides should know about (asthma, joint problems, injuries, food allergies etc.). If there is no relevant medical information, please put "N/A". *
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information

Please list any health and/or medical problems that your guides should know about (asthma, joint problems, injuries, food allergies etc.). If there is no relevant medical information, please put "N/A". *
Second Participant's Signature*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information

Please list any health and/or medical problems that your guides should know about (asthma, joint problems, injuries, food allergies etc.). If there is no relevant medical information, please put "N/A". *
Third Participant's Signature*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information

Please list any health and/or medical problems that your guides should know about (asthma, joint problems, injuries, food allergies etc.). If there is no relevant medical information, please put "N/A". *
Fourth Participant's Signature*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information

Please list any health and/or medical problems that your guides should know about (asthma, joint problems, injuries, food allergies etc.). If there is no relevant medical information, please put "N/A". *
Fifth Participant's Signature*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information

Please list any health and/or medical problems that your guides should know about (asthma, joint problems, injuries, food allergies etc.). If there is no relevant medical information, please put "N/A". *
Sixth Participant's Signature*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information

Please list any health and/or medical problems that your guides should know about (asthma, joint problems, injuries, food allergies etc.). If there is no relevant medical information, please put "N/A". *
Seventh Participant's Signature*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information

Please list any health and/or medical problems that your guides should know about (asthma, joint problems, injuries, food allergies etc.). If there is no relevant medical information, please put "N/A". *
Eighth Participant's Signature*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information

Please list any health and/or medical problems that your guides should know about (asthma, joint problems, injuries, food allergies etc.). If there is no relevant medical information, please put "N/A". *
Ninth Participant's Signature*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information

Please list any health and/or medical problems that your guides should know about (asthma, joint problems, injuries, food allergies etc.). If there is no relevant medical information, please put "N/A". *
Tenth Participant's Signature*
Parent or Guardian's Email Address

Email
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
In exchange for True Blue Inc. allowing the person(s) whose name(s) are printed below to participate in a rappelling tour, I agree to release, indemnify and hold harmless True Blue Inc., D.B.A. Island Adventures, Da Life Outdoors, Da Life Outdoor Gear, Kauai Beach Boys, True Blue Charters, and their employees, guides, and agents for any damage or injury to the person(s) named below that results from the risks and dangers of participating in this activity.


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 Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Information

Please list any health and/or medical problems that your guides should know about (asthma, joint problems, injuries, food allergies etc.). If there is no relevant medical information, please put "N/A". *
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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