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Kingfisher Adventures LLC

WAIVER and RENTAL AGREEMENT

BY SIGNING THIS FORM YOU ARE WAIVING IMPORTANT LEGAL RIGHTS

***PLEASE READ CAREFULLY***

1. This agreement (“Waiver”) covers my participation in all paddling and paddling-related activities organized by Kingfisher Adventures LLC, including kayaking and paddle boarding, and lifting or moving of kayaks or paddle boards, whether taking places indoors or outdoors (collectively referred to as the “Activities”).

2. I acknowledge, agree and represent that I understand the nature of the Activities and that I am qualified, in good health and in proper physical condition to participate in them.

3. I understand that participating in the Activities involves risks, dangers and hazards. I am aware that by participating in the Activities I am risking permanent personal injury, paralysis, death or damage to property. I accept and assume those risks and all responsibility for losses, costs and damages I incur as a result of participating in the Activities.

4. I release the following organizations, companies and people (collectively referred to as the “Releasees”):

a) Kingfisher Adventures LLC;

b) All owners and lessors of the premises on which the Activities take place; and

c) All directors, officers, employees, agents, independent contractors and volunteers of any of the above from any and all liability for any loss, damage, injury or expense that I may suffer as a result of my participation in the Activities, no matter how they are caused, including if caused by the negligence of any of the Releasees. I release, discharge, and covenant not to sue the Releasees from all liability, claims, demands, losses or damages on my account caused or alleged to be caused in whole or in part by the negligence of the Releasee or otherwise, including negligent rescue operations.

5. I agree and warrant that I will examine and inspect all Activities in which I take part and that, if I observe any condition to be unacceptably hazardous or dangerous, I will notify the proper authority and will refuse to take part in the Activities until the condition has been corrected.

6. I agree and warrant that if someone sues me for negligence, I will not claim contribution or indemnity from any of the Releasees. I release the Releasees from all liability that could arise from such a contribution or indemnity claim.

7. I agree to hold harmless and indemnify the Releasees in respect of any claims, liability or legal expenses that they incur arising directly or indirectly by reason of a claim brought by me against any person or entity for loss, damage, injury or expenses suffered by me. For example, if I sue another participant for negligence, and that person in turn claims contribution or indemnity from one or more of the Releasees, then I agree to pay the Releasee for all liability claims and legal expenses that it incurs in connection with the contribution and indemnity claim.

8. I confirm that I have attained the age of 18 years, and if I have not attained the age of 18 years, that my parent or guardian has signed this Waiver. I also confirm that any minors in my care have attained the age of 3 years.

9. I confirm that my body weight, and the body weight of any minors participating in my care, does not exceed 260 pounds. Or, if my weight exceeds 260 pounds, I agree that I will only participate as the sole occupant of a tandem (2-person) kayak, at the direction of an attendant.

10. I recognize and agree that I am not allowed to participate in the Activities unless I sign this Waiver. I agree that this Waiver is binding on me and on my heirs, executors, administrators and legal representatives.

11. I recognize and agree that this waiver shall remain valid for all future participation in the Activities.

12. I confirm that I have read the "Safety Guidelines" and "Usage Guidelines" and agree to follow them.

I have read this Waiver, fully understand its terms, understand that I have given up substantial rights by signing it and have signed it freely and without any inducement or assurance of any nature and intend it to be a complete and unconditional release of all liability to the greatest extent allowed by law. I agree that if any portion of this Waiver is held to be invalid, the balance, notwithstanding, shall continue in full force and effect.

Today's Date: April 26, 2025




First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Body Weight & Age Minimum
For safety reasons, Kingfisher Adventures applies a maximum weight limit for participation in a single (1-person) kayak. If you do not answer truthfully, you are WAIVING IMPORTANT LEGAL RIGHTS. Please confirm below by clicking the appropriate button.*
No, my body weight DOES NOT EXCEED 260 pounds.
Yes, my body weight exceeds 260 pounds.
For safety reasons, Kingfisher Adventures applies a minimum age for participation. If you do not answer truthfully, you are WAIVING IMPORTANT LEGAL RIGHTS. Please confirm below by clicking the appropriate button.*
Yes, all minors in my care are AT LEAST AGE 3 or OLDER.
One or more minors in my care are less than 3 years of age.
Not applicable, I am not accompanied by any minors today.
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Body Weight & Age Minimum
For safety reasons, Kingfisher Adventures applies a maximum weight limit for participation in a single (1-person) kayak. If you do not answer truthfully, you are WAIVING IMPORTANT LEGAL RIGHTS. Please confirm below by clicking the appropriate button.*
No, my body weight DOES NOT EXCEED 260 pounds.
Yes, my body weight exceeds 260 pounds.
For safety reasons, Kingfisher Adventures applies a minimum age for participation. If you do not answer truthfully, you are WAIVING IMPORTANT LEGAL RIGHTS. Please confirm below by clicking the appropriate button.*
Yes, all minors in my care are AT LEAST AGE 3 or OLDER.
One or more minors in my care are less than 3 years of age.
Not applicable, I am not accompanied by any minors today.
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Body Weight & Age Minimum
For safety reasons, Kingfisher Adventures applies a maximum weight limit for participation in a single (1-person) kayak. If you do not answer truthfully, you are WAIVING IMPORTANT LEGAL RIGHTS. Please confirm below by clicking the appropriate button.*
No, my body weight DOES NOT EXCEED 260 pounds.
Yes, my body weight exceeds 260 pounds.
For safety reasons, Kingfisher Adventures applies a minimum age for participation. If you do not answer truthfully, you are WAIVING IMPORTANT LEGAL RIGHTS. Please confirm below by clicking the appropriate button.*
Yes, all minors in my care are AT LEAST AGE 3 or OLDER.
One or more minors in my care are less than 3 years of age.
Not applicable, I am not accompanied by any minors today.
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Body Weight & Age Minimum
For safety reasons, Kingfisher Adventures applies a maximum weight limit for participation in a single (1-person) kayak. If you do not answer truthfully, you are WAIVING IMPORTANT LEGAL RIGHTS. Please confirm below by clicking the appropriate button.*
No, my body weight DOES NOT EXCEED 260 pounds.
Yes, my body weight exceeds 260 pounds.
For safety reasons, Kingfisher Adventures applies a minimum age for participation. If you do not answer truthfully, you are WAIVING IMPORTANT LEGAL RIGHTS. Please confirm below by clicking the appropriate button.*
Yes, all minors in my care are AT LEAST AGE 3 or OLDER.
One or more minors in my care are less than 3 years of age.
Not applicable, I am not accompanied by any minors today.
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Body Weight & Age Minimum
For safety reasons, Kingfisher Adventures applies a maximum weight limit for participation in a single (1-person) kayak. If you do not answer truthfully, you are WAIVING IMPORTANT LEGAL RIGHTS. Please confirm below by clicking the appropriate button.*
No, my body weight DOES NOT EXCEED 260 pounds.
Yes, my body weight exceeds 260 pounds.
For safety reasons, Kingfisher Adventures applies a minimum age for participation. If you do not answer truthfully, you are WAIVING IMPORTANT LEGAL RIGHTS. Please confirm below by clicking the appropriate button.*
Yes, all minors in my care are AT LEAST AGE 3 or OLDER.
One or more minors in my care are less than 3 years of age.
Not applicable, I am not accompanied by any minors today.
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Body Weight & Age Minimum
For safety reasons, Kingfisher Adventures applies a maximum weight limit for participation in a single (1-person) kayak. If you do not answer truthfully, you are WAIVING IMPORTANT LEGAL RIGHTS. Please confirm below by clicking the appropriate button.*
No, my body weight DOES NOT EXCEED 260 pounds.
Yes, my body weight exceeds 260 pounds.
For safety reasons, Kingfisher Adventures applies a minimum age for participation. If you do not answer truthfully, you are WAIVING IMPORTANT LEGAL RIGHTS. Please confirm below by clicking the appropriate button.*
Yes, all minors in my care are AT LEAST AGE 3 or OLDER.
One or more minors in my care are less than 3 years of age.
Not applicable, I am not accompanied by any minors today.
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Body Weight & Age Minimum
For safety reasons, Kingfisher Adventures applies a maximum weight limit for participation in a single (1-person) kayak. If you do not answer truthfully, you are WAIVING IMPORTANT LEGAL RIGHTS. Please confirm below by clicking the appropriate button.*
No, my body weight DOES NOT EXCEED 260 pounds.
Yes, my body weight exceeds 260 pounds.
For safety reasons, Kingfisher Adventures applies a minimum age for participation. If you do not answer truthfully, you are WAIVING IMPORTANT LEGAL RIGHTS. Please confirm below by clicking the appropriate button.*
Yes, all minors in my care are AT LEAST AGE 3 or OLDER.
One or more minors in my care are less than 3 years of age.
Not applicable, I am not accompanied by any minors today.
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Body Weight & Age Minimum
For safety reasons, Kingfisher Adventures applies a maximum weight limit for participation in a single (1-person) kayak. If you do not answer truthfully, you are WAIVING IMPORTANT LEGAL RIGHTS. Please confirm below by clicking the appropriate button.*
No, my body weight DOES NOT EXCEED 260 pounds.
Yes, my body weight exceeds 260 pounds.
For safety reasons, Kingfisher Adventures applies a minimum age for participation. If you do not answer truthfully, you are WAIVING IMPORTANT LEGAL RIGHTS. Please confirm below by clicking the appropriate button.*
Yes, all minors in my care are AT LEAST AGE 3 or OLDER.
One or more minors in my care are less than 3 years of age.
Not applicable, I am not accompanied by any minors today.
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Body Weight & Age Minimum
For safety reasons, Kingfisher Adventures applies a maximum weight limit for participation in a single (1-person) kayak. If you do not answer truthfully, you are WAIVING IMPORTANT LEGAL RIGHTS. Please confirm below by clicking the appropriate button.*
No, my body weight DOES NOT EXCEED 260 pounds.
Yes, my body weight exceeds 260 pounds.
For safety reasons, Kingfisher Adventures applies a minimum age for participation. If you do not answer truthfully, you are WAIVING IMPORTANT LEGAL RIGHTS. Please confirm below by clicking the appropriate button.*
Yes, all minors in my care are AT LEAST AGE 3 or OLDER.
One or more minors in my care are less than 3 years of age.
Not applicable, I am not accompanied by any minors today.
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Body Weight & Age Minimum
For safety reasons, Kingfisher Adventures applies a maximum weight limit for participation in a single (1-person) kayak. If you do not answer truthfully, you are WAIVING IMPORTANT LEGAL RIGHTS. Please confirm below by clicking the appropriate button.*
No, my body weight DOES NOT EXCEED 260 pounds.
Yes, my body weight exceeds 260 pounds.
For safety reasons, Kingfisher Adventures applies a minimum age for participation. If you do not answer truthfully, you are WAIVING IMPORTANT LEGAL RIGHTS. Please confirm below by clicking the appropriate button.*
Yes, all minors in my care are AT LEAST AGE 3 or OLDER.
One or more minors in my care are less than 3 years of age.
Not applicable, I am not accompanied by any minors today.
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*
Medical Info

DO YOU HAVE A MEDICAL CONDITION OUR STAFF SHOULD BE AWARE OF (SPECIFIED)?
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 Body Weight & Age Minimum
For safety reasons, Kingfisher Adventures applies a maximum weight limit for participation in a single (1-person) kayak. If you do not answer truthfully, you are WAIVING IMPORTANT LEGAL RIGHTS. Please confirm below by clicking the appropriate button.*
No, my body weight DOES NOT EXCEED 260 pounds.
Yes, my body weight exceeds 260 pounds.
For safety reasons, Kingfisher Adventures applies a minimum age for participation. If you do not answer truthfully, you are WAIVING IMPORTANT LEGAL RIGHTS. Please confirm below by clicking the appropriate button.*
Yes, all minors in my care are AT LEAST AGE 3 or OLDER.
One or more minors in my care are less than 3 years of age.
Not applicable, I am not accompanied by any minors today.
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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