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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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