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PARTICIPANT AGREEMENT, RELEASE AND ASSUMPTION OF RISK

In consideration of the services of Riversports INC/4 Corners Riversports, their agents, owners, officers, volunteers, participants, employees, and all other persons or entities acting in any capacity on their behalf (hereinafter collectively referred to as “4CRS”), I hereby agree to release, indemnity, and discharge 4CRS on behalf of myself, my spouse, my children, my parents, my heirs, assigns, personal representative and estate as follows

1. I acknowledge that canoeing, kayaking, and stand up paddle boarding, entails known and unanticipated risks that could result in physical or emotional injury, paralysis, death, or damage to myself to property or to third parties.
2. I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity.
3. I acknowledge that I have been provided with a US Coast Guard approved PFD and safety whistle with my rental and understand that I am required to wear both the PFD and whistle at all times while I am on the water as per Colorado State Law.

The risks include, among other things whitewater rapids will be encountered, your boat could turn over and/or you could have to swim rapids risking collision with rocks and entanglement in trees and other debris; head injuries can occur; you can slip and fall during a hike, resulting in damage to equipment or personal injury; exposure to the natural element can be uncomfortable and/or harmful, you should be aware that this exposure could cause sunburn, dehydration, heat exhaustion, heat stroke, and heat cramps; also prolonged exposure to cold water can result in hypothermia; exposure to potentially dangerous wildlife insects, plants, and accidental drowning is also a possibility Furthermore, 4CRS employees have difficult jobs to perform. They seek safety, but they are not infallible. They might be unaware of a participants fitness or abilities. They might misjudge the weather or other environmental conditions. They may give incomplete warnings or instructions, and the equipment being used might malfunction.

4. I expressly agree and promise to accept and assume all of the risks existing in this activity. My participation in this activity is purely voluntary, and I elect to participate in spite of the risks
5. I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless 4CRS 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 4CRS's equipment or facilities, including any such claims which alege negligent acts or omissions of 4CRS Should 4CRS or anyone acting on their behalf, be required to incur attorney's fees and costs to enforce this agreement, I agree to indemnify and hold them harmless for all such fees and costs 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 I may have
6. In the event that I file a lawsuit against 4CRS, I agree to do so solely in the state of Colorado, and I further agree that the substantive law of Colorado shall apply in that action without regard to the conflict of law rules of that sate. I agree that if any portion of this agreement is found to be void or unenforceable, the renaming document shall remain in full force and effect.
7. I acknowledge that I am fully responsible for the loading and transport of any rental equipment from 4CRS. 4CRS is in no way responsible for any damage that may occur to my vehicle or other personal belongings in loading, unloading, or transport of rental equipment. I agree that while 4CRS employees may assist in loading of equipment, that I am ultimately responsible for ensuring the equipment is loaded and secured properly.

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 4CRS on the basis of any claim from which I have released them herein. I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by its terms.

Date: June 28, 2022

First Paddler's Name

First Name*

Last Name*

Phone*
First Paddler's Date of Birth*
I certify that I am 18 years of age or older
First Paddler's Media and Press Release
Permission is granted to use photos from my paddle school or my child's paddle school for media and press release.*
No
Yes
First Paddler's Signature*
Second Paddler's Name

First Name*

Last Name*

Phone*
Second Paddler's Date of Birth*
Second Paddler's Media and Press Release
Permission is granted to use photos from my paddle school or my child's paddle school for media and press release.*
No
Yes
Third Paddler's Name

First Name*

Last Name*

Phone*
Third Paddler's Date of Birth*
Third Paddler's Media and Press Release
Permission is granted to use photos from my paddle school or my child's paddle school for media and press release.*
No
Yes
Fourth Paddler's Name

First Name*

Last Name*

Phone*
Fourth Paddler's Date of Birth*
Fourth Paddler's Media and Press Release
Permission is granted to use photos from my paddle school or my child's paddle school for media and press release.*
No
Yes
Fifth Paddler's Name

First Name*

Last Name*

Phone*
Fifth Paddler's Date of Birth*
Fifth Paddler's Media and Press Release
Permission is granted to use photos from my paddle school or my child's paddle school for media and press release.*
No
Yes
Sixth Paddler's Name

First Name*

Last Name*

Phone*
Sixth Paddler's Date of Birth*
Sixth Paddler's Media and Press Release
Permission is granted to use photos from my paddle school or my child's paddle school for media and press release.*
No
Yes
Seventh Paddler's Name

First Name*

Last Name*

Phone*
Seventh Paddler's Date of Birth*
Seventh Paddler's Media and Press Release
Permission is granted to use photos from my paddle school or my child's paddle school for media and press release.*
No
Yes
Eighth Paddler's Name

First Name*

Last Name*

Phone*
Eighth Paddler's Date of Birth*
Eighth Paddler's Media and Press Release
Permission is granted to use photos from my paddle school or my child's paddle school for media and press release.*
No
Yes
Ninth Paddler's Name

First Name*

Last Name*

Phone*
Ninth Paddler's Date of Birth*
Ninth Paddler's Media and Press Release
Permission is granted to use photos from my paddle school or my child's paddle school for media and press release.*
No
Yes
Tenth Paddler's Name

First Name*

Last Name*

Phone*
Tenth Paddler's Date of Birth*
Tenth Paddler's Media and Press Release
Permission is granted to use photos from my paddle school or my child's paddle school for media and press release.*
No
Yes
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
What Paddle School class are you signed up for?

Please Indicate Class Title and Dates *
Medical Information
Do you have any pertinent medical conditions we should be aware of?

Please describe pertinent conditions *
Are you currently taking any medications? If yes, please explain type, for what condition and how often you are taking

Type of medication *
Do you have any allergies we should be aware of? If so, please indicate allergen, reaction and if you are carrying and epi-pen

Allergen, Reaction, Epi-pen? *
Emergency Contact (1)

Name *

Phone Number *
Relationship*
Are they in the Durango area?*
Yes
No
Emergency Contact (2)

Name *

Phone Number *
Relationship*
Are they in the Durango area*
Yes
No
In consideration of _________________________________, the minor is being permitted by 4CRS to participate in it's activities and to use its equipment and facilities. I further agree to indemnify and hold harmless 4CRS from any and all claims which are brought by on behalf of Minor, and which are in any way connected with such use or participation by Minor
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 Media and Press Release
Permission is granted to use photos from my paddle school or my child's paddle school for media and press release.*
No
Yes
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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