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Fish on the Fly Waiver

WAIVER AND RELEASE OF LIABILITY

In consideration of the risk of injury that exists while participating in

(hereinafter the "Activity"); and

In consideration of my desire to participate in said Activity and being given

the right to participate in same;

I hereby, for myself, my heirs, executors, administrators, assigns, or

personal representatives (hereinafter collectively, "Releasor," "I" or "me",

which terms shall also include Releasor's parents or guardian if Releasor is

under 18 years of age), knowingly and voluntarily enter into this waiver and

release of liability and hereby waive any and all rights, claims or causes of

action of any kind arising out of my participation in the Activity; and

I HEREBY release and forever discharge ,Fish on the Fly, their affiliates,

managers, members, agents, attorneys, staff, volunteers, heirs,

representatives, predecessors, successors and assigns (collectively

"Releasees"), from any physical or psychological injury that I may suffer as a

direct result of my participation in the aforementioned Activity.

I AM VOLUNTARILY PARTICIPATING IN THE AFOREMENTIONED

ACTIVITY AND I AM PARTICIPATING IN THE ACTIVITY ENTIRELY AT MY

OWN RISK. I AM AWARE OF THE RISKS ASSOCIATED WITH

PARTICIPATING IN THIS ACTIVITY, WHICH MAY INCLUDE, BUT ARE

NOT LIMITED TO: PHYSICAL OR PSYCHOLOGICAL INJURY, PAIN,

SUFFERING, ILLNESS, DISFIGUREMENT, TEMPORARY OR

PERMANENT DISABILITY (INCLUDING PARALYSIS), ECONOMIC OR

EMOTIONAL LOSS, AND DEATH. I UNDERSTAND THAT THESE

INJURIES OR OUTCOMES MAY ARISE FROM MY OWN OR

OTHERS' NEGLIGENCE, CONDITIONS RELATED TO TRAVEL TO AND

FROM THE ACTIVITY, OR FROM CONDITIONS AT THE ACTIVITY

LOCATION(S). NONETHELESS, I ASSUME ALL RELATED RISKS, BOTH

KNOWN AND UNKNOWN TO ME, OF MY PARTICIPATION IN THIS

ACTIVITY.

I further agree to indemnify, defend and hold harmless the Releasees

against any and all claims, suits or actions of any kind whatsoever for liability,

damages, compensation or otherwise brought by me or anyone on my

behalf, including attorney's fees and any related costs.

I further acknowledge that Releasees are not responsible for errors,

omissions, acts or failures to act of any party or entity conducting a specific

event or activity on behalf of Releasees. In the event that I should require

medical care or treatment, I authorize to provide all emergency medical care

deemed necessary, including but not limited to, first aid, CPR, the use of

AEDs, emergency medical transport, and sharing of medical information with

medical personnel. I further agree to assume all costs involved and agree to

be financially responsible for any costs incurred as a result of such treatment.

I am aware and understand that I should carry my own health insurance.

I further acknowledge that this Activity may involve a test of a person's

physical and mental limits and may carry with it the potential for death,

serious injury, and property loss. I agree not to participate in the Activity

unless I am medically able and properly trained, and I agree to abide by the

decision of the official or agent, regarding my approval to participate in the

Activity.

I HEREBY ACKNOWLEDGE THAT I HAVE CAREFULLY READ THIS

"WAIVER AND RELEASE" AND FULLY UNDERSTAND THAT IT IS A

RELEASE OF LIABILITY. I EXPRESSLY AGREE TO RELEASE AND

DISCHARGE AND ALL OF ITS AFFILIATES, MANAGERS, MEMBERS,

AGENTS, ATTORNEYS, STAFF, VOLUNTEERS, HEIRS,

REPRESENTATIVES, PREDECESSORS, SUCCESSORS AND ASSIGNS,

FROM ANY AND ALL CLAIMS OR CAUSES OF ACTION AND I AGREE

TO VOLUNTARILY GIVE UP OR WAIVE ANY RIGHT THAT I OTHERWISE

HAVE TO BRING A LEGAL ACTION AGAINST FOR PERSONAL INJURY

OR PROPERTY DAMAGE.

To the extent that statute or case law does not prohibit releases for ordinary

negligence, this release is also for such negligence on the part of , its agents,

and employees.

I agree that this Release shall be governed for all purposes by law, without

regard to any conflict of law principles. This Release supersedes any and all

previous oral or written promises or other agreements.

In the event that any damage to equipment or facilities occurs as a result of

my or my family's or my agent's willful actions, neglect or recklessness, I

acknowledge and agree to be held liable for any and all costs associated with

any such actions of neglect or recklessness.


THIS WAIVER AND RELEASE OF LIABILITY SHALL REMAIN IN EFFECT

FOR THE DURATION OF MY PARTICIPATION IN THE ACTIVITY, DURING

THIS INITIAL AND ALL SUBSEQUENT EVENTS OF PARTICIPATION.

First Participant's Name
First Name*
Middle Name
Last Name*
Phone*
First Participant's Date of Birth*
Date of Birth
First Participant's Signature*
Second Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
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.


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 Date of Birth*
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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