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Supplemental assumption of risk and release liability in reponse to COVID-19.

Express Assumption of Risks

I voluntarily and knowingly agree to participate in this trip provided by San Juan Safaris LLC (SJS). In addition to the other risks involved, I am aware of the inherent risks and dangers to me by partaking in the trip during the novel coronavirus (COVID-19) pandemic. These risks include illness caused by exposure to infection or disease, including COVID-19, from (1) SJS employees, SJS guests, and other third parties, and (2) the equipment, vehicles, food, clothing, and other items used by or belonging to SJS, SJS guests, other third parties, and me during the trip.

I acknowledge that the above list is only a fraction of possibilities of what may occur during the trip, and that a full list would be impossible to ascertain. I have reviewed the above and considered the risks and concluded that I wish to participate in the trip. In spite of the inherent risks, I agree to be responsible for my own welfare and accept any and all risks.

Release of Liability

All reasonable effort has been made by SJS to fully disclose the nature of this trip to me. I have had the opportunity to ask any questions regarding this trip. In consideration of the services furnished to me, my legal representatives and I release and forever discharge SJS, its owners, officers, directors, agents, contractors, and employees from and against all liability which may arise from my participation on this trip, including any claim for property loss, damage, injury, or death that I may suffer, or any claims of negligence or omission. This agreement is intended to be interpreted as broadly as permissible under Washington law and if any portion of this agreement is held invalid, it is agreed that all other parts will continue in full legal force and effect. This agreement will be interpreted, construed and governed by and under Washington State law, and any claim or controversy arising out of or relating to this agreement will be settled by binding arbitration in San Juan County, Washington. Exclusive venue and jurisdiction over the parties and the subject matter to this agreement will be in the San Juan District Court of Washington in San Juan County for commencing the arbitration proceedings and enforcing the arbitration award.

First Participant's Name

First Name*

Last Name*

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

Email*

Confirm Email*
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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*
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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