Trip Code: _________ Trip
Date: _________
In consideration of the
services of the Hocking Hills Canoe Livery, LLC, their officers, agents,
stockholders, and all other persons or entities with those businesses (hereinafter
collectively referred to as “HHCL”). I agree as follows:
Although HHCL has taken
reasonable steps to provide you with appropriate equipment and skilled guides
so you can enjoy an activity for which you may not be skilled, we wish to
remind you; this is not without risk. We do not want to frighten you or reduce
your enthusiasm for this activity, but we do think it is important for you to
know in advance what to expect and to be informed of the inherent risks.
I understand that outdoor
activities have inherent risks, dangers and hazards and such exists in the use
of water craft equipment; participation and/or use of such equipment may result
in injury or illness including, but not limited to bodily injury, disease,
strains, fractures, partial and/or total paralysis, death or other serious
ailments that could cause serious disability. These risks and dangers may be
caused by the negligence of HHCL, the negligence of participants, 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, guide decision making, including that a
guide may misread terrain, weather, trail or river route location, and water
level; risks of falling out of or drowning while in a raft, canoe or kayak; and
other such risks, hazards, and dangers that are integral to recreation
activities that take place in a wilderness, outdoor or recreational
environment. By participation in these activities and/or use of equipment, I
assume all risks and dangers and all responsibility for any losses and/or
damages, whether caused in whole or in part by the negligence or other conduct
of HHCL or by any other person.
I will watch and take under
advisement the cautions, warnings and tips of the paddlesports safety video.
I understand that the
description of these risks is not complete and that other unknown or
unanticipated risks may result in injury or death. I agree to assume
responsibility for the risks identified herein and those risks not specifically
identified. I have adequate life, health and disability insurance. My
participation in this activity is purely voluntary, no one is forcing me to
participate, and I elect to participate in spite of the risks.
I agree that any
photographs, video, or other medium made of me during my trip, on the premises,
during transport, or at any other time by the HHCL or a party of the HHCL are
the sole properties of HHCL and can be used in advertising, promotion or any
way HHCL sees fit.
I have read, understood, and
accepted the terms and condition stated herein and acknowledge that this
agreement shall be effective and binding upon myself, my heirs, assigns,
personal representatives, estates, and for all members of my family, including
any minor accompanying me, and/or participating in this activity. I acknowledge
I am not relying on any oral, written or visual representatives or statements
made by HHCL including those made in its brochures or other promotional material,
to induce me to participate in this activity.
_______________________
Date of
Signature
___________________________
____________________________
Signature Print
Name
Spouse:
___________________________
____________________________
Signature Print
Name
Minors:
___________________________ ________________________ _______
Signature of Parent or Guardian Print Minor’s Name Age
___________________________ ________________________ _______
Signature of Parent or
Guardian Print Minor’s Name Age
___________________________ ________________________ _______
Signature of Parent or Guardian Print Minor’s Name Age
___________________________ ________________________ _______
Signature of Parent or Guardian Print Minor’s Name Age
___________________________ ________________________ _______
Signature of Parent or Guardian Print Minor’s Name Age
___________________________ ________________________ _______
Signature of Parent or Guardian Print Minor’s Name Age