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PAUMANOK TOURS

WAIVER AND RELEASE OF LIABILITY 


In consideration of Paumanok Tours furnishing services and/or equipment to enable me to participate in Paumanok Tours’ activities, I acknowledge and agree as follows:

I fully understand and acknowledge that:

(a) Outdoor recreational activities have inherent risks and dangers, and such exist in my use of Paumanok Tours’ kayaking equipment and my participation in Paumanok Tours’ activities

(b) My participation in such activities and/or use of such equipment may result in, but is not limited to, bodily injury, disease, strains, fractures, partial and/or total paralysis, eye injury, blindness, cuts and bruises to the skin, heat stroke, heart attack, death or other ailments that could cause serious disability.

(c) These risks and dangers may be caused by the negligence of the owners, employees, officers or agents of Paumanok Tours, the negligence of the participants, the negligence of others, accidents, breaches of contract, animals, the forces of nature or other causes.

(d) Theses risks and dangers may arise from foreseeable or unforeseeable causes including, but not limited to, guide decision making, including that a guide may misjudge terrain, weather, trail or river route location, and water level, risks of falling out of or drowning while in a raft, canoe, or kayak and such other risks, hazards and dangers that are integral to recreational activities and/or use of equipment.

(e) By my participating in these activities and/or use of equipment I hereby assume ALL risks and dangers and all responsibility for ANY losses and/or damages, whether caused in whole or in part by the negligence or other conduct of the owners, agents, officers, employees of Paumanok Tours or by any other person.

(f) I hereby assume all risk and responsibility of and for any and all damage, loss or theft of the rental boats and/or equipment, or any portions thereof, including bit not limited to vandalism or theft, and shall pay Paumanok Tours for full cost of replacement or repairs

(g) I understand that any photograph taken of me and/or minor children by Paumanok Tours agents may become the property of Paumanok Tours and I hereby authorize use of such photos for brochures, slideshows and other promotional materials.

I, on behalf of myself, my personal representatives, next of kin and my heirs, hereby voluntarily agree to release, waive, discharge, hold harmless, defend and indemnify Paumanok Tours and its owners, agents, officers and employees from any and all claims, actions or losses for bodily injury, property damage, wrongful death, loss of services or otherwise which may arise out of my use of Paumanok Tours’ equipment or my participation in Paumanok Tours’ activities. I specifically understand that I am releasing, discharging and waiving any claims or actions that I may have presently or in the future for the negligent acts or other conduct by the owners, agents, officers or employees of Paumanok Tours.

I HAVE READ THE WAIVER AND RELEASE AND BY SIGNING AGREE THAT IT IS MY INTENTION TO EXEMPT AND RELIEVE PAUMANOK TOURS FROM ANY LIABILITY FOR ANY AND ALL ILLNESS, PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH CAUSED BY NEGLIGENCE OR ANY OTHER CAUSES 

 



First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Age Acknowledgment*
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*

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
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
In consideration of above listed minor being permitted by Paumanok Tours to participate in its activities and to use its affiliates’ equipment, I further agree to indemnify and hold harmless Paumanok Tours from any and all claims which are brought by, or on behalf of minor , and which are in any way connected with such use or participation by minor. This is to certify that I, as parent/guardian, with legal responsibility for this participant, have read and explained the provisions in this waiver/release to my child/ward including the risks of presence and participation and his/her personal responsibilities for adhering to the rules and regulations for protection against communicable diseases. Furthermore, my child/ward understands and accepts these risks and responsibilities. I for myself, my spouse, and child/ward do consent and agree to his/her release provided above for all the Releasees and myself, my spouse, and child/ward do release and agree to indemnify and hold harmless the Releasees for any and all liabilities incident to my minor child’s/ward’s presence or participation in these activities as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent provided by law.


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*

Middle Name

Last Name*

Phone*
Parent or Guardian's Age Acknowledgment*
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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