Texas Kayak, Llc Release Of Liability

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TEXAS KAYAK, LLC RELEASE OF LIABILITY
PLEASE FILL IN ALL INFORMATION. PLEASE PRINT NEATLY.
KAYAKING, RAFTING, CAMPING AND/OR CANOEING AND THE USE OF ANY
EQUIPMENT RELATED TO SUCH ACTIVITY HAS INHERENT RISKS.
THIS FORM MUST BE READ AND FULLY COMPLETED AND SIGNED
PRIOR TO ANY PARTICIPATION IN KAYAKING, RAFTING, CAMPING OR CANOEING ACTIVITIES.
PLEASE READ THIS WAIVER AND RELEASE CAREFULLY BEFORE SIGNING.
NAME(S):
______________________________________
DATE:_________________________________
______________________________________
AGE:_____________ DOB:_______________
ADDRESS:
______________________________________
PHONE #:______________ TDL:___________
(Street)
______________________________________
LIC.#:___________ CAR/MAKE:____________
(City, State, Zip)
By execution of this Waiver and Release, the undersigned acknowledges that he/she understands and agrees that:
Texas Kayak, LLC (“Texas Kayak”) is providing interested parties with the opportunity to participate in kayaking,
rafting, camping and/or canoeing activities.
Kayaking, rafting, camping and/or canoeing activities have: (a) inherent risks, dangers and hazards and such
exists in my use of Texas Kayak equipment and my participation in Texas Kayak activities; (b) my participation in
such activities and/or use of such equipment on or near the water surface may result in injury, including but not
limited to: falling, slipping, insect bites, snake bites, bodily injury, 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 my negligence, the negligence of others, accidents, breaches of contract, the forces of nature or other causes.
Risks and dangers may arise from foreseeable or unforeseeable causes including, but not limited to, selection of
trail or river route, water level, weather conditions, risks of falling out of a raft, kayak or canoe, and such other
risks, hazards and dangers that are integral to recreational activities that take place in a wilderness, outdoor or
recreational environment; and I hereby accept and assume those risks and dangers.
Risks and dangers may arise from foreseeable or unforeseeable causes including, but not limited to, guide
decision making, including that a guide may misjudge terrain, weather, trail or river route location, and water level,
risks of falling out of or drowning while in a raft, kayak or canoe and such other risks, hazards and dangers that
are integral to recreational activities and/or use of 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 guide, or by any other
person.
The activities of kayaking, rafting, camping and/or canoeing and the use of any kayaking, rafting, camping and/or
canoeing equipment or gear has inherent risks and should not be attempted without prior competent instruction.
Although personnel at Texas Kayak may rent, sell or provide the undersigned with, and/or assist the undersigned
with the assembly and/or use of certain kayaking, rafting, camping and/or canoeing equipment or gear, Texas
Kayak does not provide or accept any responsibility to provide the undersigned any instruction in kayaking,
rafting, camping and/or canoeing, and/or the use of any kayaking, rafting, camping and/or canoeing equipment or
gear.
Equipment/gear rented:
_____________________ (brand of kayak) Kayak; paddles; flotation device; seat
_______ Initials
I understand that I will be responsible to pay late charges if the rented equipment/gear
is returned after 6:30 p.m.
_______ Initials
I am responsible for any repairs or replacement of the rented equipment/gear in the
event of damage, loss, theft, etc., irrespective of the cause of such damage or loss.
_______ Initials
He/she has carefully read and fully understands this Waiver and Release.
_______ Initials
TEXAS KAYAK HAS NOT AND DOES NOT MAKE ANY REPRESENTATIONS AND WARRANTIES AS TO, AND
ASSUMES NO RESPONSIBILITY FOR THE COMPETENCE OF THE PERSON AND/OR ENTITY CONDUCTING,
SPONSORING, PARTICIPATING IN, GUIDING AND/OR DIRECTING KAYAKING, RAFTING, CAMPING AND/OR
CANOEING ACTIVITIES.
THE UNDERSIGNED, ON BEHALF OF MYSELF, MY PERSONAL REPRESENTATIVES, HEIRS, DISTRIBUTEES,
GUARDIANS, LEGAL REPRESENTATVES AND/OR ASSIGNS, HEREBY FULLY UNDERSTANDS AND ASSUMES
ALL RISKS AND HAZARDS ASSOCIATED WITH, ARISING OUT OF, OR IN ANY WAY CONNECTED WITH THE
RESERVATIONS FOR, AND/OR PARTICIPATION IN KAYAKING, RAFTING, CAMPING AND/OR CANOEING
ACTIVITIES BY THE UNDERSIGNED AND THE USE BY THE UNDERSIGNED OF ANY KAYAKING, RAFTING,
CAMPING AND/OR CANOEING EQUIPMENT OR GEAR PROVIDED OR ASSEMBLED BY TEXAS KAYAK, ITS
OWNERS, AGENTS, OFFICERS, DIRECTORS AND/OR EMPLOYEES.
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