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Milwaukee Kayak Company LLC
Waiver & Release Form

Participants must be 18 years or older, or must be accompanied by an adult.
Each canoeist/kayaker/paddleboarder is required to read and sign this waiver.
Parents or guardians must sign for minors.

Release of liability, waiver of claims, express assumptions of risk, and indemnity agreement. Read carefully before signing.

I do hereby affirm and acknowledge that I have been fully informed of the inherent hazards and risks associated with activities offered by Milwaukee Kayak Company LLC, as well as travel to and from activity sites, and that participating in such activities is potentially dangerous, can be physically demanding and hazardous, involving risk of injury, death, and/or personal property loss or damage.

I acknowledge and agree that:

  1. I WLL WEAR PROTECTIVE and SAFETY GEAR prescribed by the Milwaukee Kayak Company LLC, knowing, however, that protective gear does not and cannot guarantee physical safety.
  2. I am at all times fully and solely responsible for my own safety and well-being while engaging in activities offered or provided by Milwaukee Kayak Company LLC, and in transit to and from such activities. I accept and assume all risks connected with activities offered and/or provided by Milwaukee Kayak Company LLC.
  3. I am fully responsible for any and all damage occurring to equipment belonging to Milwaukee Kayak Company LLC during my use, notwithstanding normal wear and tear.
  4. I can swim and pull myself up on to a dock from water.

Release of liability, waiver of claims and indemnity agreement:

In consideration of permission to participate in activities with Milwaukee Kayak Company LLC, I hereby acknowledge and agree to the following by execution of this document:

  1. I hereby release and hold harmless Milwaukee Kayak Company LLC, its officers, directors, employees, agents and volunteers from any liability whatsoever for any and all injury, disability, death, or loss or damage to person or property, whether caused by active or passive negligence or otherwise, as well as from any claims or causes of action that I, my estate, heirs, survivors, executors, or assigns may have for personal injury, property damage, or wrongful death arising from activities offered or provided by Milwaukee Kayak Company LLC.
  2. I shall hold Milwaukee Kayak Company LLC, its officers, directors, employees, agents and volunteers harmless and indemnify them in conjunction with any injury, disability, death, or loss or damage to person or property that may occur as a result of my engaging in activities offered or provided by Milwaukee Kayak Company LLC.
  3. It is the intention of the parties to this agreement to exempt and relieve from liability and to bar any right to sue Milwaukee Kayak Company LLC, its officers, directors, employees, agents and volunteers for personal injury, property damage and/or wrongful death. I expressly agree that this release and wavier of liability, indemnity agreement and assumption of risk agreement is intended to be as broad and inclusive as permitted by the laws of the State of Wisconsin. If any provision of this agreement is found to be unenforceable, the remainder of the agreement shall stand.
  4. If I am injured during an activity with Milwaukee Kayak Company LLC, I give permission for activity participants to administer first aid and to seek medical assistance as deemed necessary. I intend that the releases, waivers and assumptions of risk contained in this agreement shall fully apply to any claim on account of first aid treatment or service rendered to me during my participation in Milwaukee Kayak Company LLC activities, even if caused by negligence of an agent, employee, guest or assign of Milwaukee Kayak Company LLC.

I have carefully read this agreement and fully understand its contents. I am aware that this is a release and waiver of liability and that by signing this agreement I am giving up important legal rights.

Today's Date: May 28, 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 Signature*
Second Participant's Name

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

Last Name*
Tenth Participant's Date of Birth*
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

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 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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