Loading...

The Scuba Shop @ Lake Jocassee Camping Liability Release Form

In consideration of The Scuba Shop/ Jocassee Adventures furnishing services and/or equipment to enable me to participate in camping, I agree as follows: I fully understand and acknowledge that outdoor recreational activities have: (A) inherent risks, dangers and hazards and such exists in my use of camping equipment and my participation in camping activities; (B) my partici-pation in such activities and/or use of such equipment may result in injury or illness including, but not limited to bodily injury, snake ,spider, or wild animals ,disease, strains, fractures, partial and/or total paralysis, 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, but not limited to, The Scuba Shop/ Jocassee Adventures the negligence of the participants, the negligence of others, accidents, breaches of contract, the forces of nature as falling trees or limbs or other causes. Risks and dangers may arise from foreseea-ble or unforeseeable causes including, but not limited to, guide decision making, including that a guide may misjudge terrain, weather, severe storms , and water levels, and such other risks, hazards and dangers that are integral to recreational activities that take place in a wilderness, outdoor or recreational environment; and (D) by my participation camping and for use of camp-ing 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, or employees of The Scuba Shop / Jocassee Adventures., or by any other person. I, on behalf of myself, my personal representatives and my heirs hereby voluntarily agree to release, waive, discharge, hold harmless, defend and indemnify The Scuba Shop/Jocassee Adventures and their 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 facilities and/or participation in camping 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 The Scuba Shop/ Jocassee Adventures. I HAVE READ THE ABOVE WAIVER AND RELEASE AND BY SIGNING IT AGREE. IT IS MY INTENTION TO EXEMPT AND RELIEVE THE SCUBA SHOP/ JOCASSEE ADVENTURES FROM LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH CAUSED BY NEGLIGENCE OR ANY OTHER CAUSE. ***READ THIS FORM COMPLETELY AND CAREFULLY. YOU ARE AGREEING TO LET YOUR MINOR CHILD ENGAGE IN A POTENTIALLY DANGEROUS ACTIVITY. YOU ARE AGREEING THAT, EVEN IF THE SCUBA SHOP/ JOCASSEE ADVENTURES USES REASONABLE CARE IN PROVIDING THIS ACTIVITY, THERE IS A CHANCE YOUR CHILD MAY BE SERI-OUSLY INJURED OR KILLED BY PARTICIPATING IN THIS ACTIVITY BECAUSE THERE ARE CERTAIN DANGERS INHERENT IN THE AC-TIVITY WHICH CANNOT BE AVOIDED OR ELIMINATED. BY SIGNING THIS FORM YOU ARE GIVING UP YOUR RIGHT TO RECOVER FROM THE SCUBA SHOP/ JOCASSEE ADVENTURES IN A LAWSUIT FOR ANY PERSONAL INJURY, INCLUDING DEATH, TO YOU OR ANY PROPERTY DAMAGE THAT RESULTS FROM THE RISKS THAT ARE A NATURAL PART OF THE ACTIVITY. YOU HAVE THE RIGHT TO REFUSE TO SIGN THIS FORM, BUT BY SIGNING , I WISH TO PARTICIPATE.

.

December 21, 2024


First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Agree to Abide by the following while camping:(initial each box)

Shoes must be worn while on the premises *

No drugs or alcohol intoxication *

I will use a flashlight after dark *

I will stay on the walking paths and stay off other areas not designated for foot traffic *
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Agree to Abide by the following while camping:(initial each box)

Shoes must be worn while on the premises *

No drugs or alcohol intoxication *

I will use a flashlight after dark *

I will stay on the walking paths and stay off other areas not designated for foot traffic *
Second Participant's Signature*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Agree to Abide by the following while camping:(initial each box)

Shoes must be worn while on the premises *

No drugs or alcohol intoxication *

I will use a flashlight after dark *

I will stay on the walking paths and stay off other areas not designated for foot traffic *
Third Participant's Signature*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Agree to Abide by the following while camping:(initial each box)

Shoes must be worn while on the premises *

No drugs or alcohol intoxication *

I will use a flashlight after dark *

I will stay on the walking paths and stay off other areas not designated for foot traffic *
Fourth Participant's Signature*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Agree to Abide by the following while camping:(initial each box)

Shoes must be worn while on the premises *

No drugs or alcohol intoxication *

I will use a flashlight after dark *

I will stay on the walking paths and stay off other areas not designated for foot traffic *
Fifth Participant's Signature*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Agree to Abide by the following while camping:(initial each box)

Shoes must be worn while on the premises *

No drugs or alcohol intoxication *

I will use a flashlight after dark *

I will stay on the walking paths and stay off other areas not designated for foot traffic *
Sixth Participant's Signature*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Agree to Abide by the following while camping:(initial each box)

Shoes must be worn while on the premises *

No drugs or alcohol intoxication *

I will use a flashlight after dark *

I will stay on the walking paths and stay off other areas not designated for foot traffic *
Seventh Participant's Signature*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Agree to Abide by the following while camping:(initial each box)

Shoes must be worn while on the premises *

No drugs or alcohol intoxication *

I will use a flashlight after dark *

I will stay on the walking paths and stay off other areas not designated for foot traffic *
Eighth Participant's Signature*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Agree to Abide by the following while camping:(initial each box)

Shoes must be worn while on the premises *

No drugs or alcohol intoxication *

I will use a flashlight after dark *

I will stay on the walking paths and stay off other areas not designated for foot traffic *
Ninth Participant's Signature*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Agree to Abide by the following while camping:(initial each box)

Shoes must be worn while on the premises *

No drugs or alcohol intoxication *

I will use a flashlight after dark *

I will stay on the walking paths and stay off other areas not designated for foot traffic *
Tenth Participant's Signature*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
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 Agree to Abide by the following while camping:(initial each box)

Shoes must be worn while on the premises *

No drugs or alcohol intoxication *

I will use a flashlight after dark *

I will stay on the walking paths and stay off other areas not designated for foot traffic *
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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!