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Jet Ski Waivers.

PROTECTIVE WETSUIT REFUSAL AGREEMENT
I, for myself and/or on behalf of my child or legal ward, have been fully warned and advised by Degrassi Realty LLC
DBA Canyon Lake Vacations and Big Bucks Investments LLC
that we should purchase and/or wear a properly
fitted wetsuit bottoms, or clothing that provides equivalent protection, while riding or being around Wave Runners and
Jet Skis in order to protect against injuries caused by water forced into body cavities as a result of falling into the water
or being near the jet thrust nozzle. Injuries include water forced into the rectum or vagina causing severe internal injuries
or death. I understand that by not wearing wetsuit bottoms or equivalent clothing, I will be going against manufacturers’
requirements and putting myself at risk for injuries. I realize that I am subject to injury from this activity and that no
form of preplanning can remove all of the danger to which we are exposing ourselves. Against the advice of DR, the
guide/instructor, numerous court cases and DR’s insurance company, we are refusing this critical safety precaution.
SIGNER STATEMENT OF AWARENESS
I/we the undersigned have read the foregoing statement carefully before signing and do understand its warnings
and assumption of risks.

First Participant's Name

First Name*

Last Name*
First Participant's Date of Birth*
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.
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*
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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