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Participant
Release of Liability and
Assumption of Risk Agreement
***Read Before Signing***
Organization
Name:________________________________________________
Participant
Name:________________________________________________
In consideration of being allowed
to participate in any way in the program, related events and activities, I
the undersigned, acknowledge, appreciate, and agree that:
- The risk of injury from the
activities involved in this program is significant, including the
potential for permanent paralysis and death.
- I knowingly and freely
assume all such risks, both known and unknown, even if arising
from the negligence of the releases or others, and assume full
responsibility for my participation.
- I willingly agree to comply
with terms and conditions for participation. If I observe any unusual
significant hazard during my presence or participation, I will remove
myself from participation and bring such to the attention of the nearest
official immediately.
- I, for myself and on behalf of
my heirs, assigns, personal representatives and next of kin, hereby
release, indemnify, and hold harmless the Hiwassee Scenic River
Outfitters, Inc., its officers, officials, agents and/or employees,
other participants, sponsors, advertisers, and if applicable, owners and
lessors or premises used to conduct the event (Releases), from any and
all claims, demands, losses, and liability arising out of or related to
any injury, disability or death I may suffer, or loss or damage
to person or property, whether arising from the negligence of the
releases or otherwise, to the fullest extent permitted by
law.
I have read this release of
liability and assumption of risk agreement, fully understand its terms,
understand that I have given up substantial rights by signing it, and sign
it freely and voluntarily without any inducement.
Participant's
Name:__________________________________________________________Age:________Date:______________
For Parents/Guardians of
Participant of Minor Age (under age 18 at time of
registration)
This is to certify that I, as parent/guardian
with legal responsibility for this participant, do consent and agree to
his/her release as provided above of all the releasees, and for myself, my
heirs, assigns, and next of kin, I release and agree to indemnify and hold
harmless the Releasees from any and all liability incidents to my minor
child's involvement or participation in these programs as provided above,
even if arising from the negligence of the releases, to the fullest
extent permitted by law.
Parent/Guardian
Signature:________________________________________Date:________Emergency
Phone Number(s):______________
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