Loading...

Please execute this waiver for your upcoming adventure!


[HIGH COUNTRY RIVER TOURS D.B.A COLORADO RAFTING COMPANY]

RAFTING WARNING, ASSUMPTION OF RISK, RELEASE OF LIABILITY & INDEMNIFICATION AGREEMENT

PLEASE READ CAREFULLY BEFORE SIGNING. THIS IS A RELEASE OF LIABILITY & WAIVER OF LEGAL RIGHTS.

Definitions. The person who is participating in rafting shall be referred to hereinafter as “Participant”. The “Undersigned” means only the Participant when the Participant is age 18 or older OR it means both the Participant and the Participant’s parent or legal guardian when the Participant is under the age of 18. “Released Parties” mean HIGH COUNTRY RIVER TOURS D.B.A COLORADO RAFTING COMPANY, CAG OPERATIONS LLC D.B.A. COLORADO ADVENTURE GUIDES and any of [its/their] respective successors in interest, affiliated organizations and companies, insurance carriers, agents, employees, representatives, assignees, officers, directors, members, and shareholders. The “Activity” means taking part in rafting, boating, paddling, paddle boarding, fishing, swimming, wading, hiking, camping, consuming provided food or drinks, climbing on rocks and slopes, portaging and traveling to and from Activity site(s).

Risks of Activity. The Undersigned agree and understand that taking part in the Activity can be HAZARDOUS AND INVOLVES THE RISK OF PHYSICAL INJURY AND/OR DEATH. The Undersigned acknowledge that the Activity is inherently dangerous and fully realize the dangers of participating in the Activity. The risks and dangers of the activity include, but are not limited to: extreme physical demands and exertion, exhaustion, lack of instruction, lack of communication, lack of medical attention or equipment, choice of rafting course, choice of difficulty of rapids, negligence of guides or other participants, changing weather conditions, changing water conditions, cold water immersion, hidden underwater obstacles, trees or other above water obstacles, slippery terrain and falling, changing and unpredictable currents, holes, drowning, exposure, swimming in cold water rapids, overturning, improper use of or lack of equipment, jumping off rocks, wildlife, carrying rafts and other equipment, entrapment of feet or other body parts under rocks or other objects, equipment failure, dehydration, sunburn, driving to and from the Activity site(s), Participant’s poor health or physical condition, and mental distress from exposure to any one of the above. THE UNDERSIGNED ACKNOWLEDGE AND UNDERSTAND THAT THE DESCRIPTION OF THE RISKS LISTED ABOVE IS NOT COMPLETE AND THAT PARTICIPATING IN THE ACTIVITY MAY BE DANGEROUS AND MAY INCLUDE OTHER RISKS.

Release, Indemnification, and Assumption of Risk. In consideration of the Participant being permitted to participate in the Activity, the Undersigned agree as follows:

Release. THE UNDERSIGNED HEREBY IRREVOCABLY AND UNCONDITIONALLY RELEASE, FOREVER DISCHARGE, AND AGREE NOT TO SUE OR BRING ANY OTHER LEGAL ACTION AGAINST THE RELEASED PARTIES with respect to any and all claims and causes of action of any nature whether currently known or unknown, which the Undersigned, or any of them, have or which could be asserted on behalf of the Undersigned in connection with the Participant’s participation in the Activity, including, but not limited to, claims of negligence, negligence per se, negligent misrepresentation, premises liability, tort claims, breach of warranty, statutory violations and breach of contract. For the purposes complying with Article II of Chapter 11 of the Idaho Springs Municipal Code, and in consideration of being authorized to use City parks as a client of Colorado Rafting Company, the undersigned does hereby, on behalf of him- or herself, and his or her heirs, personal representatives, successors and assigns, waive and release the County of Clear Creek and City of Idaho Springs, its officers, agents and employees, of and from any and all claims, actions, causes of action, demands, rights, damages, costs, loss of service, expenses and compensation whatever which the undersigned now has or which may hereafter accrue on account of or in any way growing out of all known and unknown, foreseen and unforeseen bodily and personal injuries and property damages, and the consequences thereof, resulting from the use of such City parks and other public property as a client of Colorado Rafting Company.

Indemnification. The Undersigned hereby agree to indemnify, defend and hold harmless the Released Parties from and against any and all liability, costs, property loss, medical bills, loss of income, expenses, attorney’s fees, liens, subrogation rights, and all other damages of any kind or nature whatsoever, and from any suits, claims or demands, including legal fees and expenses whether or not in litigation, arising out of or related to Participant’s participation in the Activity. Such obligation on the part of the Undersigned shall survive the period of the Participant’s participation in the Activity.

Assumption of Risk. The Undersigned agree and understand that there are dangers and risks associated with the participation in the Activity and that INJURIES AND/OR DEATH may result from participating in the Activity, including, but not limited to, the acts, omissions, representations, carelessness, and negligence of the Released Parties. The Undersigned acknowledges that participation in the Activity is voluntary. The Undersigned also acknowledge that Participant is physically and mentally capable of participating in the Activity. By signing this document, the Undersigned recognize that property loss, injury and death are all possible while participating in the Activity. RECOGNIZING THE RISKS AND DANGERS, THE UNDERSIGNED UNDERSTAND THE NATURE OF THE ACTIVITY AND VOLUNTARILY CHOOSE FOR PARTICIPANT TO PARTICIPATE IN AND EXPRESSLY ASSUME ALL RISKS AND DANGERS OF THE PARTICPATION IN THE ACTIVITY, WHETHER OR NOT DESCRIBED ABOVE, KNOWN OR UNKNOWN, INHERENT, OROTHERWISE.

Minor Acknowledgment. In the case of a minor Participant, the Undersigned parent or legal guardian acknowledges that he/she is not only signing this Agreement on his/her behalf, but tha the/she is also signing on behalf of the minor and that the a minor shall be bound by all the terms of this Agreement. Additionally, by signing this Agreement as the parent or legal guardian of a minor, the parent or legal guardian understands that he/she is also waiving rights on behalf of the minor that the minor otherwise may have. The Undersigned parent or legal guardian agrees that, but for the foregoing, the minor would not be permitted to participate in the Activity. By signing this Agreement without a parent or legal guardian’s signature, Participant, under penalty of fraud, represents that he/she is at least 18 years of age. If signing as the parent or guardian of a minor Participant, signing adults represent that they are a legal parent or guardian of the minor Participant.

Medical Care. Undersigned authorize the Released Parties and/or their authorized personnel to call for medical care for Participant or to transport Participant to a medical facility or hospital if, in the opinion of such personnel, medical attention is needed and it is possible to call for medical care for Participant or transport Participant to a medical facility or hospital. Undersigned agree to pay all costs associated with such medical care and related transportation.

Photo\Video Release: I authorize Released Parties to use my or my child’s photo/video for sale or reproduction in any manner the Released Parties desire, without compensation to me

Miscellaneous. The Undersigned further agree and understand: (a) Participant will not engage in any activities prohibited by any applicable laws, statutes, regulations and ordinances; (b) this Agreement shall be governed by the laws of the State of Colorado, and the exclusive jurisdiction for any claim shall be the District Court of Summit County, Colorado Or Grand County,  CO or the federal court of the State of Colorado; (c) THIS AGREEMENT CONSTITUTES THE ENTIRE AGREEMENT BETWEEN THE PARTIES HERETO AND SUPERSEDES ANY AND ALL PRIOR CONTRACTS, ARRANGEMENTS, COMMUNICATIONS, OR REPRESENTATIONS, WHETHER ORAL OR WRITTEN, BETWEEN THE PARTIES RELATING TO THE SUBJECT MATTER HEREOF INCLUDING BUT NOT LIMITED TO ANY PRIOR REPRESENTATIONS ABOUT THE ACTIVITY ITSELF OR THE SAFETY THEREOF; (d) the Undersigned is voluntarily and fairly entering into this Agreement. The Undersigned understand and acknowledge that this Agreement is a contract and shall be binding to the fullest extent permitted by law. If any part of this Agreement is deemed to be unenforceable, the remaining terms shall be an enforceable contract between the parties. It is the intent of the Undersigneds that this agreement shall be binding upon the assignees, subrogors, distributors, heirs, next of kin, executors and personal representatives of the Undersigned.

I HAVE CAREFULLY READ THE FOREGOING ASSUMPTION OF RISK, RELEASE OF LIABILITY & INDEMNIFICATION AGREEMENT AND UNDERSTAND ITS CONTENTS. I AM AWARE THAT I AM RELEASING LEGAL RIGHTS THAT OTHERWISE MAY EXIST.

Today's Date: December 21, 2024




Please select who will be participating...
AdultMinor
Continue
First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information

Health History Form 

Colorado Adventure Guides' trips may be half-day, full-day, or multi-day wilderness expeditions in remote settings, where evacuation to modern hospital facilities is not immediately possible. You must expect extreme weather conditions ranging from snow storms to sleet to extreme heat. Sudden environmental changes are to be expected and anticipated. Depending on what activity you pursue with Colorado Adventure Guides you may be required to walk for several hours; carry a heavy load up uneven, steep terrain; sleep outdoors; experience long, tough days; and prepare meals and set up camp. If you have any questions about the activity and your participation, you may contact Colorado Adventure Guides directly.

Participant: Please circle YES or NO for each question. Each must be answered, but keep in mind that a "YES" answer does not necessarily mean you will not be able to participate. If you answer "YES" to any question, you may be asked to discuss your condition with the guide before departing. Guides reserve the right to make a decision on a participant's eligibility at any time. 

Do you currently have or have a history of: 


1. Respiratory problems? Asthma?*
No
Yes
2. Gastrointestinal disturbances?*
No
Yes
3. Diabetes or Hypoglycemia?*
No
Yes
4. Hypertension?*
No
Yes
5. Bleeding or blood disorders?*
No
Yes
6. Hepatitis or other liver diseases?*
No
Yes
7. Epilepsy? Seizures?*
No
Yes
8. Dizziness or fainting episodes?*
No
Yes
9. Treatment or medication for menstrual cramps?*
No
Yes
10. Disorders of the urinary or reproductive tract?*
No
Yes
11. Do you see a Medical/Physical specialist of any kind?*
No
Yes
12. Are you pregnant?*
No
Yes
13. Treatment or counseling with a mental health professional?*
No
Yes
14. Cardiac problems?*
No
Yes
15. Anorexia/Bulimia/Eating Disorder?*
No
Yes
16. Heatstroke/Heat Exhaustion?*
No
Yes
17. Physical or Sensory Limitation?*
No
Yes
18. Any other health complaint?*
No
Yes

If you chose "YES" on any of the questions, 1-18, please provide a brief description of your condition and any associated physical limitations:

Musculoskeletal Injuries
Do you currently have or have a history of: 


19. Knee, hip, ankle, shoulder, arm, back, or other injuries to muscles, tendons, ligaments, or bones sprains)? If so, please explain:

20. Have any of these injuries required surgery? If so, please explain:

Allergies/Medications 

21. Do you have any allergies? (including insect bites or bee stings)*
No
Yes

Please list them, along with their severity and current treatment plan
22. Are you allergic to any medications?*
No
Yes
23. Are you currently taking any medications?*
No
Yes

Medication dosage/schedule
24. Have you ever been treated for any altitude related illness?*
No
Yes
25. Have you ever been treated for frostbite or other cold related injury/illness?*
No
Yes
26. Have your ever been treated for heat stroke or other heat related illness?*
No
Yes

Do you have any other physical, medical, or psychological conditions not listed above?
27. Do you exercise regularly?*
No
Yes

How often?

Restrictions

Duration/Distance

Intensity Level (easy/moderate/competitive)

Diet 


30. Do you have any dietary restrictions or food allergies? If yes, please describe (Are you vegetarian, vegan, gluten---free, or lactose intolerant? How strict are you? If you have a food allergy, what happens when you are exposed to the allergen?)

PLEASE READ CAREFULLY AND SIGN

The information provided above is a complete and accurate statement of any physical and psychological conditions, which may affect my participation in this trip. I realize that failure to disclose such information could result in serious harm to me, fellow participants, the guide. I agree to inform Colorado Adventure Guides should there be any change in my health status prior to the start of the trip. On the basis of the background information at the beginning of this form, and what I know or suspect about my physical and psychological health, I am fully capable of participating in this activity. I understand that if I have the potential for a severe allergic reaction to bee stings, insect bites, food, poison oak, or other substances that might be found in the outdoors, it is my responsibility to carry the proper medication with me. 


Emergency Contact Name/Relationship: *

Emergency Contact Phone Number: *
First Participant's Signature*
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*
Check to receive information, news, and discounts by e-mail.
Please enter your activity date and booking number (if you have it)

Activity date *

Booking 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.


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*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information

Health History Form 

Colorado Adventure Guides' trips may be half-day, full-day, or multi-day wilderness expeditions in remote settings, where evacuation to modern hospital facilities is not immediately possible. You must expect extreme weather conditions ranging from snow storms to sleet to extreme heat. Sudden environmental changes are to be expected and anticipated. Depending on what activity you pursue with Colorado Adventure Guides you may be required to walk for several hours; carry a heavy load up uneven, steep terrain; sleep outdoors; experience long, tough days; and prepare meals and set up camp. If you have any questions about the activity and your participation, you may contact Colorado Adventure Guides directly.

Participant: Please circle YES or NO for each question. Each must be answered, but keep in mind that a "YES" answer does not necessarily mean you will not be able to participate. If you answer "YES" to any question, you may be asked to discuss your condition with the guide before departing. Guides reserve the right to make a decision on a participant's eligibility at any time. 

Do you currently have or have a history of: 


1. Respiratory problems? Asthma?*
No
Yes
2. Gastrointestinal disturbances?*
No
Yes
3. Diabetes or Hypoglycemia?*
No
Yes
4. Hypertension?*
No
Yes
5. Bleeding or blood disorders?*
No
Yes
6. Hepatitis or other liver diseases?*
No
Yes
7. Epilepsy? Seizures?*
No
Yes
8. Dizziness or fainting episodes?*
No
Yes
9. Treatment or medication for menstrual cramps?*
No
Yes
10. Disorders of the urinary or reproductive tract?*
No
Yes
11. Do you see a Medical/Physical specialist of any kind?*
No
Yes
12. Are you pregnant?*
No
Yes
13. Treatment or counseling with a mental health professional?*
No
Yes
14. Cardiac problems?*
No
Yes
15. Anorexia/Bulimia/Eating Disorder?*
No
Yes
16. Heatstroke/Heat Exhaustion?*
No
Yes
17. Physical or Sensory Limitation?*
No
Yes
18. Any other health complaint?*
No
Yes

If you chose "YES" on any of the questions, 1-18, please provide a brief description of your condition and any associated physical limitations:

Musculoskeletal Injuries
Do you currently have or have a history of: 


19. Knee, hip, ankle, shoulder, arm, back, or other injuries to muscles, tendons, ligaments, or bones sprains)? If so, please explain:

20. Have any of these injuries required surgery? If so, please explain:

Allergies/Medications 

21. Do you have any allergies? (including insect bites or bee stings)*
No
Yes

Please list them, along with their severity and current treatment plan
22. Are you allergic to any medications?*
No
Yes
23. Are you currently taking any medications?*
No
Yes

Medication dosage/schedule
24. Have you ever been treated for any altitude related illness?*
No
Yes
25. Have you ever been treated for frostbite or other cold related injury/illness?*
No
Yes
26. Have your ever been treated for heat stroke or other heat related illness?*
No
Yes

Do you have any other physical, medical, or psychological conditions not listed above?
27. Do you exercise regularly?*
No
Yes

How often?

Restrictions

Duration/Distance

Intensity Level (easy/moderate/competitive)

Diet 


30. Do you have any dietary restrictions or food allergies? If yes, please describe (Are you vegetarian, vegan, gluten---free, or lactose intolerant? How strict are you? If you have a food allergy, what happens when you are exposed to the allergen?)

PLEASE READ CAREFULLY AND SIGN

The information provided above is a complete and accurate statement of any physical and psychological conditions, which may affect my participation in this trip. I realize that failure to disclose such information could result in serious harm to me, fellow participants, the guide. I agree to inform Colorado Adventure Guides should there be any change in my health status prior to the start of the trip. On the basis of the background information at the beginning of this form, and what I know or suspect about my physical and psychological health, I am fully capable of participating in this activity. I understand that if I have the potential for a severe allergic reaction to bee stings, insect bites, food, poison oak, or other substances that might be found in the outdoors, it is my responsibility to carry the proper medication with me. 


Emergency Contact Name/Relationship: *

Emergency Contact Phone Number: *
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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!