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RiverGirl Requests:

For your personal safety and for the comfort and safety of others, please...

  • Drink plenty of water.
  • Wear appropriate clothing for the tasks
  • Take breaks as needed
  • Ask for assistance if needed

ACCIDENT WAIVER For Emergency Clean up and Rescue Activities by Volunteers.

RELEASE OF LIABILITY

By signing below, (1) I acknowledge that the emergency aid & transportation associated with the above described activity to be conducted by RiverGirl Fishing Co are activities which may involve the risk of personal injuries or death; (2) I hereby agree for myself, all my family members, heirs and any one accompanying me, to be effective to the greatest extent permitted by law, to release RiverGirl Fishing Co or any of its officers, directors, governors, members, trip leaders, instructors, guides, drivers or agents from any and all liability claims, losses and/or damages for personal injuries or death which may occur during participation in the above named activity and transportation associated with said trip; (3) ) I hereby agree for myself, all my family members, heirs and any one accompanying me, to be effective to the greatest extent permitted by law, not to sue or make any negligence claims against RiverGirl Fishing Co or any of its officers, directors, governors, members, trip leaders, instructors, guides, drivers or agents for personal injuries or wrongful death suffered as a result of participation in the above named activities and transportation; (4) I intend this release and agreement not to sue to be effective whether or not the injury or death results, in whole or in part, from the negligence of RiverGirl Fishing Co or any of its officers, directors, governors, members, trip leaders, instructors, guides, drivers or agents; (5) I understand that negligence means failure to do an act which a reasonably careful person would do, or the doing of an act which a reasonably careful person would not do, under the same circumstances, to protect another from injury or death; (6) I agree to be solely responsible for my own safety and well-being while participating in the outdoor activities and transportation of RiverGirl Fishing Co; (7) I agree that my vehicle is parked and used at my own risk and will not hold RiverGirl Fishing Co or any of its officers, directors, governors, members, trip leaders, instructors, guides, drivers or agents responsible for any damage or theft of or to said vehicle; (8) I agree for RiverGirl to use any images or video taken of me to be used for marketing and advertising purposes only; (9) I acknowledge that I may receive notifications via text, email, phone call or social media from RiverGirl Fishing Co that may be related to the above activity or future planned activities; (10) I agree not to hold RiverGirl Fishing Co responsible for any decisions on my part in case of an alien invasion (11) I knowingly assume all risks associated with the activity and transportation, which include but are not limited to, the risk of personal injuries or death, which may occur during participation in the above named activity transportation and the activity associated with said emergency assistance. (12) I agree not to hold RiverGirl Fishing Co responsible for any physical or bodily damage to any equipment or person(s) I use during the named activities, which includes use of personal equipment (chainsaws, tractors, excavators, personal vehicles, trailers) and will assume all liability and responsibility if that should occur.

Today's Date: October 11, 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*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
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(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*

Phone*
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.


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