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www.TRAKkayaks.com       info@trakkayaks.com

TRAK Outdoors Ltd. (“TRAK”), 102 Garner Cres, Nanaimo, BC V9R 2A6 1.403.723.0077

TRAK Kayaks Test Paddle and day trips
Waiver of Liabiity, Assumption of Risk, and Indemnity Agreement

TRAK reserves the right to refuse passage and cancel departures at its discretion.

WAIVER AND RELEASE OF LIABILITY AND ASSUMPTION OF RISKS

TRAK agrees to provide, to the best of our ability, seaworthy kayaks in good condition, and experienced and responsible sea kayak guides for all excursions. Participants on this kayak trip understand and recognize the following:

1. Participants on this kayak trip understand and recognize that there are inherent risks in participating in a sea kayak excursion including, but not limited to, capsizing, bodily exposure to the temperatures of ocean or alpine waters, exposure to the natural elements of weather, falling down while carrying kayaks to and from the launch location, or slipping and falling while walking along the beach or in the woods during the course of this trip.


2. Participants on this kayak trip understand and recognize that participants knowingly and freely assume all risks, and that TRAK, its agents, employees, volunteers and operators, shall not be liable for any damage to person or property, loss, injury, expense, or loss of life that may be suffered by its participants, including negligence on the part of the company, before, during or after this excursion.


3. Participants on this kayak trip understand and recognize that relevant medical conditions and information (such as back, shoulder, elbow or wrist problems, bone or joint problems, pregnancy or heart conditions) and any medications that may be necessary on the trip, must be disclosed to TRAK prior to departure.


4. Participants on this kayak trip understand and recognize that passengers agree to pay (1) the cost of any emergency evacuation of their person and belongings that may be necessary and (2) for the full repair or replacement value of any kayaks or gear that they have damaged that is not considered from normal or expected use.


I HAVE READ THIS WAIVER OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTANDING ITS TERMS. I UNDERSTAND THAT I HAVE GIVEN UP MY RIGHT TO SUE OR RECOVER FOR DAMAGES, LOSS, EXPENSES, INJURY OR LOSS OF LIFE BY SIGNING IT. I SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.


Photo Release

I grant TRAK kayaks, its representatives and contractors the right to take photographs of me and my property in connection with the activity. I authorize TRAK Kayaks, its assigns and transferees to copyright, use and publish the same in print and / or electronically.

I agree that TRAK kayaks may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising and web content.


 

 February 22, 2025

Please select who will be participating in a test paddle and associated tour
AdultMinor(s)
1 Minor2 Minors3 Minors4 Minors5 MinorsMore Minors6 Minors7 Minors8 Minors9 Minors10 Minors
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First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Medical History

This form must be filled out for all persons attending. Information given is confidential and is only available to staff who need to know for reasons of safety. Please give details of any medical conditions that may affect the course member's ability, including advice given by a doctor. Course members are rarely excluded from an activity due to a medical condition, so please do not miss anything out. *

Please indicate if the course member will be taking any medication during the course, and who is responsible for it. Please note TRAK instructors are not allowed to administer any medicines whatsoever, and do not have any medications available such as insect creams or aspirin. However, instructors are trained in first aid, carry expedition first aid kits. *

What are your dietary preferences. Please include any special diets, food allergies etc. (e.g. vegetarian, peanut allergy etc). *
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Medical History

This form must be filled out for all persons attending. Information given is confidential and is only available to staff who need to know for reasons of safety. Please give details of any medical conditions that may affect the course member's ability, including advice given by a doctor. Course members are rarely excluded from an activity due to a medical condition, so please do not miss anything out. *

Please indicate if the course member will be taking any medication during the course, and who is responsible for it. Please note TRAK instructors are not allowed to administer any medicines whatsoever, and do not have any medications available such as insect creams or aspirin. However, instructors are trained in first aid, carry expedition first aid kits. *

What are your dietary preferences. Please include any special diets, food allergies etc. (e.g. vegetarian, peanut allergy etc). *
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Medical History

This form must be filled out for all persons attending. Information given is confidential and is only available to staff who need to know for reasons of safety. Please give details of any medical conditions that may affect the course member's ability, including advice given by a doctor. Course members are rarely excluded from an activity due to a medical condition, so please do not miss anything out. *

Please indicate if the course member will be taking any medication during the course, and who is responsible for it. Please note TRAK instructors are not allowed to administer any medicines whatsoever, and do not have any medications available such as insect creams or aspirin. However, instructors are trained in first aid, carry expedition first aid kits. *

What are your dietary preferences. Please include any special diets, food allergies etc. (e.g. vegetarian, peanut allergy etc). *
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Medical History

This form must be filled out for all persons attending. Information given is confidential and is only available to staff who need to know for reasons of safety. Please give details of any medical conditions that may affect the course member's ability, including advice given by a doctor. Course members are rarely excluded from an activity due to a medical condition, so please do not miss anything out. *

Please indicate if the course member will be taking any medication during the course, and who is responsible for it. Please note TRAK instructors are not allowed to administer any medicines whatsoever, and do not have any medications available such as insect creams or aspirin. However, instructors are trained in first aid, carry expedition first aid kits. *

What are your dietary preferences. Please include any special diets, food allergies etc. (e.g. vegetarian, peanut allergy etc). *
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Medical History

This form must be filled out for all persons attending. Information given is confidential and is only available to staff who need to know for reasons of safety. Please give details of any medical conditions that may affect the course member's ability, including advice given by a doctor. Course members are rarely excluded from an activity due to a medical condition, so please do not miss anything out. *

Please indicate if the course member will be taking any medication during the course, and who is responsible for it. Please note TRAK instructors are not allowed to administer any medicines whatsoever, and do not have any medications available such as insect creams or aspirin. However, instructors are trained in first aid, carry expedition first aid kits. *

What are your dietary preferences. Please include any special diets, food allergies etc. (e.g. vegetarian, peanut allergy etc). *
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Medical History

This form must be filled out for all persons attending. Information given is confidential and is only available to staff who need to know for reasons of safety. Please give details of any medical conditions that may affect the course member's ability, including advice given by a doctor. Course members are rarely excluded from an activity due to a medical condition, so please do not miss anything out. *

Please indicate if the course member will be taking any medication during the course, and who is responsible for it. Please note TRAK instructors are not allowed to administer any medicines whatsoever, and do not have any medications available such as insect creams or aspirin. However, instructors are trained in first aid, carry expedition first aid kits. *

What are your dietary preferences. Please include any special diets, food allergies etc. (e.g. vegetarian, peanut allergy etc). *
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Medical History

This form must be filled out for all persons attending. Information given is confidential and is only available to staff who need to know for reasons of safety. Please give details of any medical conditions that may affect the course member's ability, including advice given by a doctor. Course members are rarely excluded from an activity due to a medical condition, so please do not miss anything out. *

Please indicate if the course member will be taking any medication during the course, and who is responsible for it. Please note TRAK instructors are not allowed to administer any medicines whatsoever, and do not have any medications available such as insect creams or aspirin. However, instructors are trained in first aid, carry expedition first aid kits. *

What are your dietary preferences. Please include any special diets, food allergies etc. (e.g. vegetarian, peanut allergy etc). *
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Medical History

This form must be filled out for all persons attending. Information given is confidential and is only available to staff who need to know for reasons of safety. Please give details of any medical conditions that may affect the course member's ability, including advice given by a doctor. Course members are rarely excluded from an activity due to a medical condition, so please do not miss anything out. *

Please indicate if the course member will be taking any medication during the course, and who is responsible for it. Please note TRAK instructors are not allowed to administer any medicines whatsoever, and do not have any medications available such as insect creams or aspirin. However, instructors are trained in first aid, carry expedition first aid kits. *

What are your dietary preferences. Please include any special diets, food allergies etc. (e.g. vegetarian, peanut allergy etc). *
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Medical History

This form must be filled out for all persons attending. Information given is confidential and is only available to staff who need to know for reasons of safety. Please give details of any medical conditions that may affect the course member's ability, including advice given by a doctor. Course members are rarely excluded from an activity due to a medical condition, so please do not miss anything out. *

Please indicate if the course member will be taking any medication during the course, and who is responsible for it. Please note TRAK instructors are not allowed to administer any medicines whatsoever, and do not have any medications available such as insect creams or aspirin. However, instructors are trained in first aid, carry expedition first aid kits. *

What are your dietary preferences. Please include any special diets, food allergies etc. (e.g. vegetarian, peanut allergy etc). *
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Medical History

This form must be filled out for all persons attending. Information given is confidential and is only available to staff who need to know for reasons of safety. Please give details of any medical conditions that may affect the course member's ability, including advice given by a doctor. Course members are rarely excluded from an activity due to a medical condition, so please do not miss anything out. *

Please indicate if the course member will be taking any medication during the course, and who is responsible for it. Please note TRAK instructors are not allowed to administer any medicines whatsoever, and do not have any medications available such as insect creams or aspirin. However, instructors are trained in first aid, carry expedition first aid kits. *

What are your dietary preferences. Please include any special diets, food allergies etc. (e.g. vegetarian, peanut allergy etc). *
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*

Confirm Email*
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
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 Date of Birth*
Parent or Guardian's Medical History

This form must be filled out for all persons attending. Information given is confidential and is only available to staff who need to know for reasons of safety. Please give details of any medical conditions that may affect the course member's ability, including advice given by a doctor. Course members are rarely excluded from an activity due to a medical condition, so please do not miss anything out. *

Please indicate if the course member will be taking any medication during the course, and who is responsible for it. Please note TRAK instructors are not allowed to administer any medicines whatsoever, and do not have any medications available such as insect creams or aspirin. However, instructors are trained in first aid, carry expedition first aid kits. *

What are your dietary preferences. Please include any special diets, food allergies etc. (e.g. vegetarian, peanut allergy etc). *
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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