Register for the 1st Annual Canoe and Kayak Float at this year’s Frontier Days Festival.

Participant Name (PRINT):__________________________________________________________________

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:

1. The risk of injury from the activities involved in this program is significant, including the potential for permanent
   paralysis and death.
2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING
   FROM THE NEGLIGENCE OF THE RELEASERS or others, and assume full responsibility for my
   participation.
3. I willingly agree to comply with the terms and conditions for the 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.
4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE,
   INDEMNIFY, AND HOLD HARMLESS SCENIC RIVER CANOE EXCURSIONS, its officers, officials,
   agents and/or employees, other participants, sponsors, advertisers, and, if applicable, owners and lessors of premises
   used to conduct the event (RELEASEES), 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 RELEASEES OR OTHERWISE, to the fullest
   extent permitted by law.
5. A late fee of $20.00 per boat per half hour (canoe, kayak, or transport) is enforced after 7:00p.m. daily. A FEE
   OF $600.00 IS ASSIGNED PER DAMAGED OR LOST CANOE OR KAYAK. A fee of $25.00 is assigned
   per damaged or lost paddle or Life Preserver.
   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.
   X / /
   Participant’s Signature Age Today’s 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 RELEASEES, to the fullest
   extent permitted by law.
   X
   Parent/Guardian Signature Date Emergency Phone Number(s)
   …………………………………………………………………………………………………………………………………….
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