|
|
In consideration of Maine Path & Paddle Guides & Outfitters,
Inc. furnishing services and / or equipment to enable me to participate
in outdoor sport and recreation activities,
I _______________ agree
as follows:
|
Initial
Here:
______
______
______
______ |
A) risks and dangers exist in my use of outdoor sport and recreation
equipment and my participation in outdoor sport and recreation
activities;
B) my participation in such activities 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 ailments that could cause serious disability;
C) these risks and dangers may be caused by the negligence of the owners,
employees, officers, or agents of Maine Path & Paddle Guides & Outfitters;
the negligence of participants, the negligence of others, accidents,
breaches of contract, the forces of nature or other causes. These risks
and dangers may arise from foreseeable or unforeseeable causes; but not
limited to, guide decision making, including a guide may misjudge terrain,
weather, trail or river route location, and water level, risks of falling
out of or drowning while in a boat, and other such risks, hazards and
dangers that are integral to recreational activities that take place
in wilderness, outdoor or recreational environments;
D) and my participation in these activities and / or use of equipment,
I hereby assume all risks and dangers and all responsibilities for any
losses and / or damages, whether caused in whole or in part by the negligence
or other conduct of the owner, agents, officers, or employees of the
Maine Path & Paddle Guides & Outfitters, or any other person. |
| I, on
behalf of myself, my personal representatives, and my heirs hereby
voluntarily agree to release, waive, discharge, hold harmless, defend
and indemnify Maine Path & Paddle Guides & Outfitters and
its owners, agents, officers and employees from any and all claims,
actions or losses for bodily injury, property damage, wrongful death,
loss of services or otherwise which may arise out of my participation
in whitewater canoeing or other activities. I specifically understand
that I am releasing, discharging, and waiving any claims or actions
that I may have presently or in the future for the negligent acts
or other conduct by the owner, agents, officers or employees of Maine
Path & Paddle Guides & Outfitters.
I have read this waiver and release of liability and by signing it agree
it is my intention to exempt and relieve Maine Path & Paddle Guides & Outfitters
from liability for personal injury, property damage or wrongful death caused
by negligence or any other cause. I also understand that in signing as
a parent or guardian in the event of an emergency if I can not be reached,
I hereby give permission to the physician selected by Maine Path & Paddle
Guides & Outfitters staff to hospitalize or to secure proper treatment,
order injections, anesthesia or surgery for my child. |
NAME________________________________________
DATE____________________
ADDRESS______________________________________________________________
CITY___________________ STATE________ COUNTRY_________ ZIP____________
SIGNATURE_____________________________________ PHONE_________________
(parent or guardian must sign for
participant under age 18)
|
|