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WAVIER & RELEASE OF LIABILITY FORM PLEASE READ CAREFULLY BEFORE SIGNING
 
In consideration of Grand Junction Stand Up Paddle LLC furnishing services and/ or equipment to enable me to participate in stand-up paddle I agree as follow:
 
I fully understand and acknowledge that:
 
(A) Outdoor recreational activities have inherent risk, dangers and hazards and such exists in my use of stand-up paddle equipment and my participation in this activity;
 
(B) My participation in such activity and/ or use of such equipment may result in injury or illness including, but not limited to bodily injury, disease, strains, fracture, partial and/or total paralysis, death or other ailments that could cause serious disability;
 
(C) These risks and dangers may be caused by the negligence of the owners, employees, officers or agents of Grand Junction Stand Up Paddle LLC, the negligence of the participants, the negligence of others, accidents, breaches of contract, the forces of nature or other causes. Risks and dangers may arise from foreseeable causes including, but not limited to, guide decision making, including that a guide may misjudge terrain, weather, river or lake route location, and water level, risks of falling off or drowning while stand up paddle boarding and such other risks, hazards and dangers that are integral to recreational activities that take place in a wilderness, outdoor or recreational environment;
 
(D) By my participation in this activity and/or use of equipment, I hereby assume all risks and dangers and all responsibility for any losses and/or damages, whether caused in whole or in part by the negligence or other conduct of the owners, agents, officers, or employees of Grand Junction Stand Up Paddle LLC or by any other person. In addition, I hereby grant permission to Grand Junction Stand Up Paddle LLC to make use for promotion or other purposes, photographic records without recourse or compensation to me; 
 
I, on behalf of myself, my personal representatives and my heirs or as parent or legal guardian of the undersigned participant hereby voluntarily agree to release, waive, discharge, hold harmless, defend and indemnify Grand Junction Stand Up Paddle LLC, the State of Colorado, the United States of America, Bureau of Land Management and the City of Grand Junction, agents, officers and employees from any and all claims, actions or losses for bodily injury, property, damage, wrongful death, loss of services or otherwise which arise out of my use of STAND UP PADDLE and kayak equipment or my participation in lake or whitewater STAND UP PADDLE and kayak activities.  I specifically understand that I am releasing, discharging and waiving any claims or actions that I may have presently or in the future for the negligent acts or other conduct by the owners, agents, officers or employees of Grand Junction Stand UP Paddle LLC, the State of Colorado, the United States of America, Bureau of Land Management and City of Grand junction.
 
I HAVE READ THE ABOVE WAIVER AND RELEASE AND BY SIGNING IT, AGREE IT IS MY INTENTION TO EXEMPT AND RELIEVE GRAND JUNCTION STAND UP PADDLE LLC, THE STATE OF COLORADO, THE UNITED STATES OF AMERICA, THE BUEAU OF LAND MANAGEMENT AND HIGHLINE LAKE STATE PARKS AND WILDLIFE FROM LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH CAUSED BY NEGLIGENCE OR ANY OTHER CAUSE.
 

 

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*

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

First Name*

Middle Name

Last Name*

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

First Name*

Middle Name

Last Name*

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

First Name*

Middle Name

Last Name*

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

First Name*

Middle Name

Last Name*

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

First Name*

Middle Name

Last Name*

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

First Name*

Middle Name

Last Name*

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

First Name*

Middle Name

Last Name*

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

First Name*

Middle Name

Last Name*

Phone*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
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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*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
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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