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ACA Camp Waiver

AMERICAN CANOE ASSOCIATION WAIVER & RELEASE OF LIABILITY

PLEASE READ COMPLETELY BEFORE SIGNING

IN CONSIDERATION of being permitted to enter upon the grounds of the American Canoe Association Camp at Lake Sebago in Harriman State Park (“the Camp”) and to be present therein, and to participate in any way in the activities, sports and recreation activities, whether on land or water, including swimming, hiking, boating  and  social, together labeled as “Activities” to be held at the Camp I, for myself, my minor children and those minor children I have brought into Camp and therefore serve as guardian for (Accompanied Minors), as well as their personal representatives, assigns, heirs, and next of kin:

ACKNOWLEDGE, agree, and represent that I understand the nature of paddlesports and the natural environment of the Camp, and the Activities to be conducted at the Camp, and that I, and my Accompanied Minors, am qualified, in good health, in proper physical condition to participate in such Activities we engage in and willingly agree to comply with the stated and customary terms and conditions of participation. I further agree and warrant that if at any time I believe conditions to be unsafe at any time and place in the Camp for myself and my Accompanied Minors, I will immediately discontinue my and their further participation in the Activity and presence in the Camp. If I decide to leave early and not complete the Activity as planned, I assume all risks inherent in my decision to leave.  I assume full responsibility for my Accompanied Minors and agree to be responsible for supervision of my Accompanied Minors while on the premises of the Camp and participating in any Activity.


I FULLY UNDERSTAND that:

a) Paddlesports and the Activities to be experienced at the Camp involve risks including presence in the natural environment of the Camp, and dangers of damage to personal property and serious bodily injury, including permanent disability, paralysis, and death ("risks");

b) these Risks and dangers may be caused by my own actions or inactions, the actions or inactions of others participating in the Activity, the condition in which the Activity takes place, or the negligence of the "releasees" named below;

c) there may be other risks and social and economic losses either not known to me or not readily foreseeable at this time; and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND ALL RESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES for myself and  my Accompanied Minors incurred as a result of my participation or that of the Accompanied Minors in the Activity, or their presence in the Camp.

I HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE the American Canoe Association, Inc., its Paddle America Clubs, the Camp Committee at the Camp and the ACA Atlantic Division, its affiliated clubs and organizational affiliates, their respective ACA-certified instructors, certified instructor trainers, and certified instructor trainer educators, administrators, directors, agents, officers, members, volunteers, and employees, other participants, any sponsors, advertisers, and, if applicable, owners and lessors of premises on which the Activity takes place, (each considered one of the "releasees" herein) from all liability, claims, demands, losses, injuries, damage to property, or other damages on my account caused or alleged to be caused in whole or in part by any action including the negligence of the "releasees" or otherwise, including negligent rescue operations; and I further agree for myself and Accompanied Minors that if, despite this release and waiver of liability, assumption of risk, and indemnity agreement I and my Accompanied Minors, or anyone on their behalf, makes a claim against any of the Releasees, I will indemnify, save and hold harmless each of the releasees from any litigation expenses, attorney fees, loss, liability, damage, or cost which any may incur as the result of such claim.

I have read this agreement, fully understand its terms, understand that I have given up substantial rights for myself and Accompanied Minors by signing it and have signed it freely and without any inducement or assurance of any nature and intend it to be a complete and unconditional release of all liability to the greatest extent allowed by law and agree that if any portion of this agreement is held to be invalid the balance, notwithstanding, shall continue in full force and effect.

First Visitor's Name

First Name*

Last Name*
First Visitor's Date of Birth*
I certify that I am 18 years of age or older
First Visitor's Signature*
Second Visitor's Name

First Name*

Last Name*
Second Visitor's Date of Birth*
Third Visitor's Name

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

Last Name*
Tenth Visitor'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.
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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