Loading...

South Island SUP

 

Please complete this waiver before taking part in any South Island SUP activity. This electronic waiver only needs to be signed once per calendar year.  Thanks for helping us go paperless!

Participants must agree to paragraphs 1-5 and sign this agreement before participating in any South Island SUP race, event, demo, lesson, tour or rental.
WARNING: THIS AGREEMENT WILL AFFECT YOUR LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE. READ CAREFULLY.

In consideration for the opportunity to participate in a stand-up paddle-boarding (SUP) course, training or any related activity, I HEREBY ACKNOWLEDGE, APPRECIATE AND AGREE THAT:

1. I assume all risk and release and hold harmless South Island SUP Instructors-Trainers and their officers, directors, employees, representatives, agents, volunteers, premises and vessels (collectively, the “Releasees”) from any legal or equitable claims, demands, debts, law suits or causes of action that I, my estate, heirs, survivors, executors, or assigns may have had in the past, have now or may have in the future for any and all injury, disability, death, loss or damage to person or property, howsoever caused, including but not limited to the risks described in paragraphs 3, 4 and 5 of this Agreement, or by negligence, gross negligence, breach of contract or breach of any duty imposed by the common law or statute.

2. By entering into this Agreement, I am not relying on any oral or written representations made by the Releasees, other than what is set out in this Agreement. This Agreement is the entire agreement on liability between the Releasees and the signing party (“Releasor”). No other terms may be incorporated into this Agreement. If any provision of the Agreement is found to be unenforceable, the remaining terms shall be enforceable. Litigation arising from this Agreement will be commenced in the province/territory that the activity was undertaken in.

HAZARDS AND RISKS ASSOCIATED WITH STAND UP PADDLEBOARDING (SUP)

3. Risk of injury from the activity and equipment utilized in SUP, swimming, and related land or water activities is significant and includes the potential for broken bones, drowning, injuries related to exposure to natural elements, contagions and man-made pollutants, severe injuries to the head, neck, and back, or other bodily injuries that may result in permanent disability or death.

4. Potential causes of injury include, but are not limited to falling off a SUP or rolling a SUP, whether intentional or unintentional; water hydraulics, rapids, currents, swells, waves, water/wetness, debris, cold weather, cold water, lightning or other natural forces; camping, animal attacks, portaging or other similar activities; my own negligence or the negligence of others, including that of the Releasees, which may include misjudgments of terrain, rapids, weather or route choice.

5. I understand that this description of potential risks is not complete and that unknown or unanticipated risks may result in injury, illness, or death.
I confirm that I have had sufficient time to read and understand this waiver in its entirety, and have agreed to the terms freely and voluntarily without inducement. I understand that this waiver is binding on me, my heirs or assigns, and my legal representatives.

Today's Date: August 4, 2020

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 Information
Any health conditions that may affect your ability to participate safely in any SUP activity?*
No
Yes

If yes, Please describe

And Please let your South Island SUP Guide, Instructor, Representative onsite know. 

Height*
Weight*
Stand Up Paddleboard Experience Level*
Age*
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
Any health conditions that may affect your ability to participate safely in any SUP activity?*
No
Yes

If yes, Please describe

And Please let your South Island SUP Guide, Instructor, Representative onsite know. 

Height*
Weight*
Stand Up Paddleboard Experience Level*
Age*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
Any health conditions that may affect your ability to participate safely in any SUP activity?*
No
Yes

If yes, Please describe

And Please let your South Island SUP Guide, Instructor, Representative onsite know. 

Height*
Weight*
Stand Up Paddleboard Experience Level*
Age*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
Any health conditions that may affect your ability to participate safely in any SUP activity?*
No
Yes

If yes, Please describe

And Please let your South Island SUP Guide, Instructor, Representative onsite know. 

Height*
Weight*
Stand Up Paddleboard Experience Level*
Age*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
Any health conditions that may affect your ability to participate safely in any SUP activity?*
No
Yes

If yes, Please describe

And Please let your South Island SUP Guide, Instructor, Representative onsite know. 

Height*
Weight*
Stand Up Paddleboard Experience Level*
Age*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
Any health conditions that may affect your ability to participate safely in any SUP activity?*
No
Yes

If yes, Please describe

And Please let your South Island SUP Guide, Instructor, Representative onsite know. 

Height*
Weight*
Stand Up Paddleboard Experience Level*
Age*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
Any health conditions that may affect your ability to participate safely in any SUP activity?*
No
Yes

If yes, Please describe

And Please let your South Island SUP Guide, Instructor, Representative onsite know. 

Height*
Weight*
Stand Up Paddleboard Experience Level*
Age*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
Any health conditions that may affect your ability to participate safely in any SUP activity?*
No
Yes

If yes, Please describe

And Please let your South Island SUP Guide, Instructor, Representative onsite know. 

Height*
Weight*
Stand Up Paddleboard Experience Level*
Age*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
Any health conditions that may affect your ability to participate safely in any SUP activity?*
No
Yes

If yes, Please describe

And Please let your South Island SUP Guide, Instructor, Representative onsite know. 

Height*
Weight*
Stand Up Paddleboard Experience Level*
Age*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
Any health conditions that may affect your ability to participate safely in any SUP activity?*
No
Yes

If yes, Please describe

And Please let your South Island SUP Guide, Instructor, Representative onsite know. 

Height*
Weight*
Stand Up Paddleboard Experience Level*
Age*
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 Information
Any health conditions that may affect your ability to participate safely in any SUP activity?*
No
Yes

If yes, Please describe

And Please let your South Island SUP Guide, Instructor, Representative onsite know. 

Height*
Weight*
Stand Up Paddleboard Experience Level*
Age*
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!