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IMPORTANT! READ CAREFULLY! This document affects your legal rights. It must be signed by you, the "Participant",  whether you are an adult or minor, if you are using equipment or participating in activities offered by COLUMBIA GORGE JUNIOR KAYAK CLUB (referred to in this document as "Provider"). It must be signed also by your parent or guardian if you are a minor.

Participant (under 18 years of age.) The parent or guardian agrees to these terms individually and on behalf of the minor. Only a parent or legally appointed guardian may sign for a minor Participant. References in this agreement to "I" or "we" include all who sign below unless otherwise clearly indicated.  


PARTICIPANT AGREEMENT  

In consideration of the opportunity to use certain equipment and/or participate in activities offered by Provider, Participant, and  the parent or guardian of a minor Participant, understand, acknowledge and agree as follows:  


Activities, Hazards and Risks  

The services of Provider may include providing equipment and trips (including guided trips) by raft or kayak (referred to,  collectively, as watercraft). Activities associated with these services may include, in addition to travel by water, swimming,  wading, hiking, climbing on rocks and slopes, camping, portaging and travel to and from the activities.  


The hazards and risks (together referred to as "risks") of the use of the watercraft include the following: entering, exiting and  operating the watercraft; water which may be fast, deep, cold, and subject to rapid change; objects which may be encountered  in and out of the water, and which may not be obvious, including debris, trees, rocks, boulders, dams, bridges, and other  hazards; the watercraft may overturn, swamp and sink and occupants may become separated from the craft; feet and other  parts of the body may become entrapped in or under rocks and other objects; participants may strike or be struck by objects,  other watercraft, and other persons, in and outside of the watercraft. Risks of other activities include those associated with  camping, hiking and moving on and over terrain, including the shoreline, the premises of Provider and others, and elsewhere,  which may be unstable, steep and slippery and where rocks, trees, and other objects may fall, and man- made and natural  structures may fail; animals, including poisonous reptiles, and poisonous plants may cause harm; swimming in unfamiliar  surroundings may cause entrapment, injury from slips and falls and drowning. Other risks include errors in judgment of  Provider's staff, volunteers, and other participants, including the improper assessment of capabilities and conditions pertaining  to the activities; certain activities may be instructional, and designed to extend the skills of participants; equipment may be  misused or may fail because of manufacturing defects or otherwise; collisions may occur while traveling by vehicle to and from  the activities; the activities are subject to the unpredictable forces of nature, including exposure to the sun, cold, wind, hail,  lightning, flash floods and other such phenomena; activities may take place in remote places, significantly delaying emergency  medical care and evacuation.  

Participant, and the parent or guardian of a minor Participant, acknowledge and understand that the description of activities  and risks above is not complete and that all activities, whether or not described, may be dangerous and may include risks  which are inherent and cannot be reasonably avoided without changing the nature of the activity. Participation in the activities  can cause bites, stings, allergic reactions, overexertion, heat stroke, hypothermia, illness due to contaminated water, burns,  cuts, bruises, strains, broken bones, and other injuries and illnesses. Property loss, and serious injury and death, including by  falling and drowning, are possible.  

Provider has made no effort to determine, and accepts no responsibility for, medical, physical or other qualifications or the  suitability of Participant, or other participants, for the activities. The Participant accepts full responsibility for determining  Participant's medical, physical or other qualifications or suitability for participating in the activities. Provider is not responsible  for the water conditions, routes, camp sites, or other activities of renters of its equipment.  

Certain activities may be conducted by independent contractors hired by Provider. These contractors are not trained or  supervised by Provider and Provider has no control over them and accepts no responsibility for their conduct. Alcohol will, and  other substances may, impair judgment and reduce a participant's ability to effectively manage the risks of water travel,  camping and land activities; participants should inspect unfamiliar rapids and other hazards before attempting to pass through  or over them; participants should always wear a fastened life jacket (personal floatation device); participants should wear  footwear which will provide protection from sharp objects, and which will minimize the risk of foot entrapment. Failure to  adhere to these and other safety precautions may result in serious injury or death. 

 Acknowledgment and Assumption of Risks I, the Participant, and the parent or guardian of a minor Participant, understand the  nature of the services of Provider and other activities which may occur, and their risks. I acknowledge and expressly assume 

all risks of the activities, whether or not described above, known or unknown, and inherent or otherwise. I take full  responsibility for any injury or loss, including death, which I, or a minor child for whom I sign, may suffer, arising in whole or  part out of such activities.  


Agreements of Release and Indemnification I agree, for myself and on behalf of the minor participant for whom I am signing, to  hereby release Provider, it's employees, contractors, volunteers, directors and owners ("Released Parties") from any and all  claims of injury or loss which I, or the minor child for whom I sign, may suffer, arising out of or in any way related to my, or the  child's, enrollment in or participation in the activities of Provider or the use of its equipment. Neither I, the minor child, nor  anyone acting on our behalf, will bring suit or otherwise assert any such claims against a Released Party.  

I will indemnify (that is, defend and satisfy by payment or reimbursement, including costs and attorneys' fees) each Released  Party from any claim of liability, including one brought by or for a minor child for whom I sign, a co-participant in any of the  activities of Provider, a rescuer, a member of my, or the minor child's, family, or anyone else, asserting a loss arising out of or  in any way related to my, or the child's, enrollment in or participation in the activities of Provider or the use of its equipment.  

The agreements of release and indemnification above include claims arising in whole or in part from negligent (but not grossly  negligent, reckless or intentionally wrong) acts or omissions of Released Parties or any of them, and all other claims, including  for personal injury, wrongful death, property damage, products liability (including strict liability), breach of contract or warranty,  

or otherwise. The agreements are intended to be enforced to the fullest extent allowed by law, and to be binding on me as  Participant and on me as parent or guardian of a minor Participant, individually and on behalf of the minor for whom I sign.  


Additional Provisions  

I authorize Provider to provide or obtain for me, or the minor child for whom I sign, such medical care as it considers  necessary and appropriate, and I agree to pay all costs associated with such care and related transportation. Any dispute  between Provider and me or the minor child for whom I sign will be governed by the substantive laws of the State of  Washington, and any arbitration or suit shall take place only in that State, in the County of Klickitat. If the dispute cannot be  resolved by mutual agreement, I agree to submit it to an arbitrator recognized by the Courts of that State and County. I agree  to pay all costs and attorney's fees incurred by Provider in defending a claim or suit brought by me or by or on behalf of the  minor for whom I sign, if the claim or suit is withdrawn or to the extent a court or mediator determines that Provider is not  responsible for the claimed injury or loss.  


I authorize Provider to use any photographs on which I appear and which are taken throughout the trip or course, to be used  for promotional use without compensation or further written authorizations.  

This agreement is entered into voluntarily, and after careful consideration. Its terms cannot be amended except in writing. I  understand that it is binding, to the fullest extent allowed by law, upon all persons signing below, our respective heirs,  executors, administrators, wards, minor children and other family members. If any part of this agreement is found by a Court or  other appropriate authority to be invalid, the remainder of the agreement nevertheless shall be in full force and effect. Participant (adult or minor)



First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
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
Check to receive information, news, and discounts by e-mail.
A signed copy of this waiver will be sent to the email address you provide.
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:*
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Do you have any medical considerations that we should be aware of or that might limit or affect safe participation? (please indicate “no” if that applies)

Medical Concerns/Considerations
Do you have any (food) allergies?

Allergies (food)
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*
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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