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RiverGirl Requests:

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

  • Wear your life jacket at all times.
  • Wear appropriate footwear: preferably closed-in toes and an ankle strap.
  • Don’t forget to use sunscreen. Remember the tops of your legs, ears and nose!
  • Drink plenty of water.
  • Take only plastic containers on the river. Broken glass is a hazard.
  • Refrain from consuming alcohol. The river is potentially dangerous. Consuming alcohol can increase the risk of injury.
  • Respect the rights of the people who live along the river.
  • Last, but not least.... Sign the waiver form and have a great trip!

ACCIDENT WAIVER FOR TRIPS AND ACTIVITIES

RELEASE OF LIABILITY

By signing below, (1) I acknowledge that the outdoor recreational activities and transportation associated with the above described trip/outdoor activity to be conducted by RiverGirl Fishing Co. are outdoor sports activities which may involve the risk of personal injuries or death; (2) I hereby agree for myself, all of my family members and heirs, 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, 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 trip, any outdoor activity and transportation associated with said trip; (3) I hereby agree for myself, all my family members and heirs, to be effective to the greatest extent permitted by law, not to sue or make any negligence claim against the RiverGirl Fishing Co., or any of its agents, officers, trip leaders, instructors, guides, drivers, directors and members for personal injuries or wrongful death suffered as a result of participation in the above named trip, related outdoor activity 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 if it's agents, officers, trip leaders, instructors, guides, drivers, directors, governors and/or members; (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 knowingly assume all risks associated with the outdoor 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 trip, transportation and the outdoor recreational activity associated with said trip.

Today's Date: December 2, 2021

First Participant's Name

First Name*

Last Name*
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

Emergency Contact's Name*

Emergency Contact's Phone Number*
Additional Information

Please check # of items being used below 


Fishing

Single Kayak

Tandem Kayak

Canoe

Tube

Bike

List of names in group

How Did You Hear About Us?
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*
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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