Loading...

Boating Liability Form

In consideration of the paid rental fee for Evergreen Park & Recreation District (hereafter “EPRD”) and the right to use Evergreen Lake (hereafter the “premises”), I RELEASE AND FULLY DISCHARGE EPRD, Evergreen Metropolitan District, the City and County of Denver, its owners, officers, directors, agents, employees, and volunteers from any liability resulting from personal injury to myself and/or my child or damage to or loss of my or my child’s property while participating in programs and activities on the premises.

I accept full responsibility for any injuries or damages, which may result from participation in and around the premises, and I hereby HOLD HARMLESS, RELEASE AND COVENANT NOT TO SUE EPRD, Evergreen Metropolitan District, and the City and County of Denver for any injury sustained by me and/or my child, or caused by me and/or my child, including death, while participating in any event or activity, including but not limited to boating, paddle boarding, kayaking, or canoeing, while on the premises. I accept responsibility for all EPRD rental equipment (vessel, paddle, life jacket) for the duration of the rental period. In the event of loss or damage to EPRD equipment I will accept financial responsibility and reimburse EPRD to the value of $50 for lost/damaged paddle, $20 for lost/damaged life jacket, vessel damage/loss to be evaluated on a case by case basis. 

The purchaser or user of this paid rental fee agrees and understands that all water and lake recreation can be hazardous and that lake conditions vary constantly because of weather changes. Customers under no circumstances are allowed to go out of the EPRD lake boundaries marked by yellow buoys at any time. This paid fee is nontransferable and will not be replaced if lost or stolen. This waiver is valid for the 2023 boating season. 

Date: June 16, 2024

 

First Participant's Name

First Name*

Last Name*
First Participant's Age Acknowledgment*
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*
Parent or Guardian's Email Address

Email
A signed copy of this waiver will be sent to the email address you provide.
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.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*
Parent or Guardian's Age Acknowledgment*
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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!