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Three Brothers Boards  

Paddle RELEASE FORM

 

I understand the purpose of signing this document is to exempt and release the Three Brothers Boards, its employees, its agents, its endorsers and its vessels (whether owned, operated, leased, chartered or rented), and the City of Daytona Beach, City of St. Augustine, City of New Smyrna Beach, City of Orange City, City of Sanford, City of Marco Island, City of Ft. Myers, City of Naples, City of Cocoa, City of Merrit Island, City of Osprey and the City of Sarasota from liability and to hold these entities harmless from any and all damages arising as a consequence of the following and/or other acts or omissions on their part, including but not limited to negligence. I acknowledge that I am fully informed of the inherent hazards and risks associated with non-motorized (i.e. paddle boards) personal watercraft and related water sport activities in which I am about to engage

I understand that there are inherent risks involved with paddle boarding including, but not limited to equipment failures, perils of the sea or waterways, act of other participants, adverse lagoon and weather conditions and I hereby assume such risks. I am physically/mentally able to participate in the water sport activities in which I am about to engage and able to board and disembark from a paddleboard unaided and I will not hold Three Brothers Boards, its employees, agents, endorsers or other associated parties responsible if I am injured as a result of ANY problems (medical, accidental or otherwise) which occur while paddling or riding in the paddle board or participating in the trip.

I understand I have a duty to exercise reasonable care for my own safety and I agree to do so. Water shoes, insect repellant, suntan lotion and water are my responsibility. I will alert my guide immediately during my trip or lesson if I am uncomfortable with my paddle boarding abilities.

I understand that the guides/instructors have limited medical facilities. Appropriate medical care must be summoned by phone/radio & treatment will be delayed until I can be returned to shore and/or transported to a proper care facility. Three Brothers Boards has made no representations to me that they can or will perform safe rescues or first aid. In the event I show signs of distress or call for first aid, I would like assistance and will not hold Three Brothers Boards, its employees, volunteers or their guests responsible for their actions in attempting the performance of rescue or first aid.

If participating in a guided tour I will be present for the safety presentation given by the guide/instructor and be attentive. If there is anything I have been taught differently or do not understand, I will immediately inform the guide/instructor.

Prior to leaving the put-in for the trip, I will inspect the equipment that I will be using. I will not hold anyone at Three Brothers Boards responsible for my failure to inspect my equipment prior to paddling.

I hereby agree as follows:

1.   To waive and release any and all claims based upon negligence, active or passive, with the exception of intentional, wanton, or willful misconduct that I may have in the future against: Three Brothers Boards, Inc., City of New Smyrna Beach, City of Edgewater, City of St. Augustine, City of Daytona Beach, City of Orange City, City of Sanford, City of Marco Island, City of Ft. Myers, City of Naples, City of Osprey and the City of Sarasota their agents and associated parties.

2.   To release their officers, directors, employees, representatives, agents and volunteers, and vessels from liability and responsibility whatsoever and for any claims or causes of action that I, my estate, heirs, executors, or assigns may have for personal injury, property damage, or wrongful death arising from the above activities whether caused by active or passive negligence of the releasees or otherwise, with the exception of gross negligence. By executing this document, I agree to hold the releasees harmless and indemnify them in conjunction with any injury or loss of life that may occur as a result from engaging in the above activities.

3.    I specifically waive any defense insofar as this contract is concerned that may arise as a result of any State, Federal or local law and/or regulation or policy that my impact its enforceability.

4.    I understand that all of these conditions also apply to the minor(s) listed on the reverse page. 

 

I HAVE READ THIS AGREEMENT, UNDERSTAND IT AND AGREE TO BE BOUND BY IT FROM THE DATE OF MY SIGNATURE AND FOREVER INTO THE FUTURE.

Date: April 21, 2024

 

 

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*
Parent or Guardian's Email Address

Email*

Confirm Email*
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Participant's Address
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Address Line 2:
Apartment, suite, unit, building, floor, etc.
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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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