KANSAS CANOE ASSOCIATION
WAIVER AND RELEASE OF LIABILITY
(IMPORTANT - READ BEFORE SIGNING!)
In consideration of being allowed to participate in The Kansas Canoe
Association trip, and related events and activities,
the undersigned:
- Agree that prior to participating, they each will inspect the facilities
and equipment to be used, and if they believe anything is unsafe, they will
immediately advise their coach or supervisor of such condition(s) and refuse to
participate.
- Acknowledge and fully understand that each participant will be engaging in
activities that involve risk of serious injury, including permanent disability
and death, and severe social and economic losses which might result only from
their own actions, inactions or negligence, but the actions, inactions or
negligence of others, the rules of play, or the condition of the premises or of
any equipment used. Further, that there may be other risks not known to us or
not reasonably foreseeable at this time.
- Assume all the foregoing risks and accept personal responsibility for the
damages and medical expenses following any such injury, permanent disability or
death.
- Release, waive, discharge, and covenant not to sue Kansas Canoe
Association, Inc., its affiliated clubs, their respective administrators,
directors, agents, coaches, and other employees of the organization, other
participants, sponsoring agencies, sponsors, advertisers, and if applicable,
owners and leasers of premises used to conduct the event, all of which are
hereinafter referred to as "releasees", from any and all liability to each of
the undersigned, his or her heirs and next of kin for any and all claims,
demands, losses, or damages on account of injury, including death or damage to
property, caused or alleged to be caused in whole or in part by the negligence
of the releasees or otherwise.
- FOR MINORS: Agree that the parents and/or legal
guardians will instruct the minor participant that prior to participating, he
or she should inspect the facilities and equipment to be used, and if the
participant believes anything is unsafe, he or she should immediately advise his
or her coach or supervisor of such conditions) and refuse to participate.
- Understand that the Activities involve
certain inherent risks including, but not limited to: forces of nature,
dangerous roads, trails, vehicles, boats or other means of conveyance;
drowning, sprains, strains, bruises or broken bones; ticks, insect bites and
stings; high altitude related illness; unsanitary food or water; accident or
illness without access to means of rapid evacuation or availability of
medical supplies; inadequate medical attention; physical exertion for which
I am not prepared; and negligence on the part of Kansas Canoe Association,
its Board, its Directors, or its Members. I understand that the
aforementioned hazards and risks are described by way of example only, and
that there are numerous other hazards and risks inherent in canoeing,
kayaking, rafting, and travel.
- Understand and agree that neither the
Kansas Canoe Association, my guides, trip leaders, trip coordinators, or
assigns (collectively hereinafter collectively referred to as the
"Released Parties") shall be held liable or responsible in any way
for any injury, death or other damages to me or my family, heirs, or assigns
that may occur as a result of my participation in the Activities or as a
result of the negligence of any party, including the Released Parties,
whether passive or active.
- Knowingly, intentionally and
voluntarily waive, release, indemnify, and agree to hold harmless the
Activities and the Released Parties from any and all actions, claims, or
lawsuits that I, my family, estate, heirs, or assigns, may have for any
damage, injury, paralysis, or death to myself or any other person arising
out of my participation in the Activities. If I, or anyone asserting a claim
through me based upon my participation the Activities, sues any Released
Party, or otherwise violates the terms of this Agreement, I or such person(s),
shall be responsible for and shall pay all attorneys fees and costs incurred
by the Released Parties in defending such action.
- This waiver may not be modified in any way. If any part of this waiver is
determined to be invalid by law, all other parts of this waiver shall remain
valid and enforceable.
THE UNDERSIGNED HAVE READ THE ABOVE WAIVER AND RELEASE, UNDERSTAND THAT THEY
HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT VOLUNTARILY.
Participant's Name: _________________________________ Signature:
_____________________________________ Date: ___________ |
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Address: ____________________________________________________ City:
_____________________ State: _________ Zip: ________ |
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Date of Birth: _________________ Club Trip/Event Name:
___________________________________Date of Trip/Event:________________ |
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Name of Parent/Guardian: ____________________________ Signature:
___________________________ Relationship: _______________
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All participants must submit a signed waiver for each trip or event they
enter.
You may make copies as needed. Please print
neatly.
revised: 03/25/2004