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SEA KAYAK GEORGIA
Release and Acknowledgment of Risk

In consideration of the services of SEA KAYAK GEORGIA, its owners, agents, officers, volunteers, participants, employees, and all other persons or entities acting on its behalf (hereinafter collectively referred to as “SKG”), I hereby agree to release and discharge SKG, on behalf of myself, my parents, my heirs, assigns, personal representatives and estate as follows:

1. I acknowledge that sea kayaking, stand up paddleboarding, canoeing, camping, hiking, sailing, and other adventure activities, including travel into remote areas entails known and unanticipated risks which could result in severe 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 compromising the essential qualities of the activity.

These risks include, but are not limited to: capsize, collision with objects or other water craft, exposure to turbulent water, rain and cold, contact with poisonous or injurious plants, venomous and/or aggressive animals, and illness in remote areas where definitive medical care might be delayed. These and other unforeseen risks could result in severe injury or death from hypothermia, accidental drowning, or trauma to skeletal, muscular, nervous, circulatory, respiratory and lymphatic systems.

Furthermore, SKG guides have difficult jobs to perform. They seek safety, but are not infallible. They might be ignorant of a participant’s fitness or abilities. They might misjudge the weather, the elements or the terrain. They may give inadequate warnings or instructions, and the equipment being used might malfunction.

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

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

4. I certify that I have insurance to cover any injury or damage I might cause or suffer while participating, or else I agree to bear the costs of such injury or damage myself. I further certify that I have no medical or physical conditions which could interfere with my safety in this activity, or else I am willing to assume, and bear the cost of, all risks that may be created, directly or indirectly, by any such condition.

5. In the event that I file a lawsuit against SKG, I agree to do so solely in the State of Georgia, and agree that the substantive laws of that state shall apply in that action. 
I agree to indemnify and hold SKG harmless for all costs and attorney’s fees incurred to enforce this agreement.

I have had sufficient opportunity to read this entire document. I have read and understood it and agree to be bound by its terms. 

 

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

First Name*

Last Name*

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

Your Paddlesport Trip Date. *

What is your height? *

What is your weight? *
What is paddling experience relevant to this program?*
Never Paddled
Beginner - paddled 1 to 10 times
Intermediate - paddled 11-25 times
Intermediate Plus - Paddled more than 25 times
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.
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Medical Information:
check all that apply *
smoke
heart condition
diabetes
high blood pressure
asthma
epilepsy
chest pain with physical exertion
back problems
dislocations
pregnant
allergies
taking medication
none of the above apply
I affirm that my health is sufficient for my participation in the activity in which I have enrolled in registration
I am not under the influence of alcohol or any mind-altering substance, and will not carry, use or consume these substances during a Sea Kayak Georgia activity
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*

Last Name*

Relationship*

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

Your Paddlesport Trip Date. *

What is your height? *

What is your weight? *
What is paddling experience relevant to this program?*
Never Paddled
Beginner - paddled 1 to 10 times
Intermediate - paddled 11-25 times
Intermediate Plus - Paddled more than 25 times
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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