Acknowledgement Of Risks Acceptance Of Responsibility Form printable pdf download

ACKNOWLEDGEMENT OF RISKS

May be reproduced

ACCEPTANCE Of RESPONSIBILITY

PLEASE READ CAREFULLY

WARNING: There are significant elements of risk in any adventure sport or activity associated with watercraft,

including but not limited to canoes, kayaks, tubes, swimming, camping and motorized craft (referred to herein as

“activity”) and the use of any equipment therewith.

ACKNOWLEDGEMENT OF RISKS: I realize that changing water flow or currents, submerged and semi-

submerged objects, varying wind and weather conditions, the presence of other watercraft, the speed at which I

travel, the stability characteristics of a watercraft, and certain foreseen and unforeseen events or hazards can

contribute to the unpredictability of the activity, that certain risks associated with this activity including but not

limited to collision, upset, overturn and sinking can result in getting wet, injured, exposed to the elements,

drowned, and personal property damaged or lost; that for swimmers and non swimmers, wearing a U.S. Coast

Guard approved floatation device is a basic safety precaution; that I may suffer accidents or illness in remote places

where there are no available medical facilities; and that I should ask about other potential hazards and

recommended precautions and procedures. I also realize that participation in an activity can result in personal

injury, accidents or illness, including but not limited to insect bites, snake bites, sprains, broken bones,

hypothermia, paralysis, dismemberment, or death.

EXPRESS ASSUMPTION OF RISK AND RESPONSIBILITY: In recognition of inherent risks of the activity,

which I am responsible, will engage in, I confirm (we are) physically and mentally capable of participating in the

activity and using the equipment. I/We participate willingly and voluntarily and I assume full responsibility for

damage to or loss of personal property as the result of any accident that may occur.

RELEASE: In consideration of services of property provided, I for myself and any minor children for which I am

parent, legal guardian or otherwise responsible, and heirs, personal representatives or assigns, hereby release

Maggard’s companies, its principals, directors, officer, agents, employees, and volunteers from all liability and

waive any claim for damage arising from any cause whatsoever (except that which is the result of gross

negligence).

I HAVE READ THE FOREGOING WARNING, ACKNOWLEDGEMENT, ASSUMPTION AND RELEASE

AND UNDERSTAND THAT BY SIGNING THIS DOCUMENT I MAY BE WAIVING VALUABLE LEGAL

RIGHTS.

EVERY PARTICIPANT OR USER MUST BE LISTED BELOW

EVERY PARTICIPANT OR USER, 18 YEARS OF AGE OR OLDER, MUST SIGN HIS/HER NAME OR THAT

OF ANY CHILDREN THAT HE/SHE IS RESPONSIBLE FOR PRIOR TO PARTICIPATION IN THE ACTIVITY

OR USE OF ANY EQUIPMENT.

1. Name (print) ____________________________________ Signature __________________________________