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RELEASE AND WAIVER FORM-BOAT RENTAL FACILITY

In consideration of THE LODGE AT LAKE MARY RONAN, LLC agreeing to rent a vessel to me, I hereby agree to the following:

1. I will be familiar with and will comply with all California and United States Coast Guard safety/navigational rules and regulations for boating on the waterways on which I intend to use the rented vessel.

2. I agree and will comply with all of THE LODGE AT LAKE MARY RONAN, LLCíS requirements, rules, and instructions governing the use of your vessels.

3. I have received and reviewed a copy of THE LODGE AT LAKE MARY RONAN, LLCíS requirements, rules and instructions governing the use of THE LODGE AT LAKE MARY RONAN, LLCíS vessels. Please initial this box if so.

4. I FULLY REALIZE THE POTENTIAL HAZARD IN OPERATING AND RENTING VESSELS.

5. I HEREBY ASSUME FULL RESPONSIBILITY FOR AND RISK OF BODILY INJURY, DEATH OR PROPERTY DAMAGE due to the negligence of THE LODGE AT LAKE MARY RONAN, LLC, its officers, club members, employees, agents, or servants, about or upon the premises of THE LODGE AT LAKE MARY RONAN, LLC and/or while using the vessel rented to me by THE LODGE AT LAKE MARY RONAN, LLC..

I HEREBY RELEASE, WAIVE, DISCHARGE AND COVENANTS NOT TO SUE THE LODGE AT LAKE MARY RONAN, LLC, its officers, club members, employees, agents, or servants, of and from all claims (first or third party) which may hereafter develop or accrue to me on account of, or by reason of, any injury, loss or damage, which may be suffered by me or to any property, because of any matter, thing or condition, negligence or default whatsoever, and I hereby assume and accept the full risk and danger of any hurt, injury or damage which may occur through or by reason of any matter, thing or condition, negligence or default, of any person or persons whatsoever.

IT IS THE INTENTION OF THIS RELEASE AND WAIVER FORM TO EXEMPT AND RELIEVE THE LODGE AT LAKE MARY RONAN, LLC FROM LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH CAUSED BY THE LODGE AT LAKE MARY RONAN, LLCíS NEGLIGENCE, AND TO BE AS BROAD AND INCLUSIVE A RELEASE OF LIABILITY AS IS PERMITTED UNDER THE LAWS OF CALIFORNIA. Please initial this box if so. [ ]

I HAVE READ AND VOLUNTARILY SIGN THIS RELEASE AND WAIVER OF LIABILITY.

I acknowledge that I have been fully and completely advised of the potential dangers involved in the activity of boating. To satisfy THE LODGE AT LAKE MARY RONAN, LLC that I have been advised and am fully aware of the legal consequences of signing the within instrument I have hand-written the word ìyesî in the box on the bottom of this page.

I HAVE READ THIS RELEASE AND WAIVER FORM.


Date: September 18, 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*

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

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

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

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

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

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

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

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

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Tenth Participant's Date of Birth*
Participant's Address
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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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