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Buckleys Mountainside Canoe

Rental Contract and Waiver of Liability

Buckley's Mountainside Canoes

It is hereby agreed upon between the undersigned (hereafter mentioned as renters) and Buckley's Mountainside Canoes, that Buckley's Mountainside Canoes is not responsible for any loss or injury to self, personal property or other personal effects from the latent defects of the vessel or act of God, or perils of the sea or rivers, fire or negligence of any type including but not limited to, navigation or other inherent dangers involved in the operation of said canoe, or during motor vehicle transport.

Additionally, renters and all members of renter's party assume all liability and waive all rights and claims against Buckley's Mountainside Canoes if they are under the influence of intoxicating liquors and drugs.

Renters will exercise precaution in keeping rented equipment in good condition. The undersigned renters assumes all responsibility for the canoe and/or kayak and/or SUP watercraft(s) while in his/her possession and promises to return said watercraft(s) to Buckley's Mountainside Canoes in as good of condition as it was at the time of the rental. Natural wear and tear is expected. Renters shall be liable for any loss, theft, damage or destruction of the rental watercraft and all equipment.

The undersigned has read and agrees to the following:

            Laws of the River                                                                   Rules of the River

1.     No disorderly actions (MCL 750.167)                                         1.     Possession of state id required

2.     No littering (MCL 324.8902)                                                       2.     No Glass

3.     No possession of alcohol by minors (MCL 436.1703)                3.     No styrofoam

4.     No trespassing (MCL 324.73102)                                               4.     No swearing

5.     No possession of controlled substances (MCL 333.7403)          5.     No plastic cups

Refrain from littering

Respect private property

Have fun!!!!

Rental Contract and Waiver of Liability

Old Dog Paddlesports, LLC Buckley's Mountainside Canoes DBA

Release, Indemnification and Hold Harmless Agreement

In consideration of participating in the sport of paddling, and for other good and valuable consideration, I hereby agree to release and discharge from liability arising from negligence Buckley's Mountainside Canoes and its owners, directors, officers, employees, agents, volunteers, participants, and all other persons or entities for them (hereinafter collectively referred to as “Releasees”), on behalf of myself and my children, parents, heirs, assigns, personal representative and estate and also agree as follows:

I acknowledge that the sport of paddling involves known and unanticipated risks which could result in physical or emotional injury, paralysis or permanent disability, death, and or property damage. Risks include but are not limited to death as a result of drowning or brain damage caused by near drowning, broken bones, torn ligaments or strains as a result of falls while launching or exiting the water, or while carrying a watercraft; medical conditions resulting from physical activity; and damaged clothing or other property. I understand such risks simply cannot be eliminated, despite the use of safety equipment, without jeopardizing the essential qualities of the activity

I expressly accept and assume all of the risks inherent in this activity or that might have been caused by the negligence of the Releasees. My participation in this activity is purely voluntary and I elect to participate despite the risks. In addition, if at any time I believe that event conditions are unsafe or that I am unable to participate due to physical or medical conditions, then I will immediately discontinue participation.

I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless Releasees from any and all claims, demands, or causes of action which are in any way connected with my participation in this activity, or my use of their equipment or facilities, arising from negligence, This release does not apply to claims arising from intentional conduct. Should Releasees or anyone acting on their behalf be required to incur attorney's fees and costs to enforce this agreement, I agree to indemnify and hold them harmless for all such fees and costs.

I represent that I have adequate insurance to cover any injury or damage I may suffer or cause while participating in this activity, or else I agree to bear the costs of such injury or damage myself. I further represent that I have no medical or physical condition which could interfere with my safety in this activity, or else I am willing to assume and bear the costs of all risks that may be created, directly or indirectly, by any such condition.
In the event that I file a lawsuit, I agree to do so solely in the state where Releasees facility is located, and I further agree that the substantive law of that state shall apply.

I agree that if any portion of this agreement is found to be void or unenforceable, the remaining portions shall remain in full force and effect.

By signing this document, I agree that if I am hurt or my property is damaged during my participation in this activity, then I may be found by a court of law to have waived my right to maintain a lawsuit against the parties being released on the basis of any claim or negligence.

I have had sufficient time to read this entire document and, should I choose to do so, consult with legal counsel prior to signing. Also, I understand that this activity might not be made available to me and that the cost to engage in this activity would be significantly greater if I were to choose not to sign this release, and agree that the opportunity to participate at the stated cost in return for the execution of this release is a reasonable bargain. I have read and understood this document and I agree to be bound by its terms.

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
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 or Guardian's Email Address

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

Emergency Contact's Name*

Emergency Contact's Phone Number*
Additional Adults Participating

List names of all adults participating
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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