Action Rafting Co. Inc. - Liability and Assumption of Risk

Trip Date: ________________________________ River: ______________________________________________

I accept full responsibility for my actions as a participant in the activities of Action Rafting Co. Inc. I agree to accept and assume all of the risks existing in this activity. My participation is purely voluntary and I elect to participate in spite of these risks. In consideration for the services of Action Rafting Co. Inc., its officers, employees, agents, or volunteers, I hereby agree to release Action Rafting Co. Inc. from liability resulting from any physical or mental injuries sustained. I understand that guiding a raft requires training, skill, and experience in water currents and conditions and that good river skills and first aid combined cannot prevent risk or possible injury.

I acknowledge that Action Rafting Co. Inc. has provided me with the necessary and appropriate information, training, equipment, and skilled personnel so that I am prepared for events that could occur. I understand that rafting has inherent risks that could lead to serious emotional and physical injuries that could be fatal. Following is a list of some, though not all, risks that could be involved:

Water conditions and currents
Contaminated water
Insects and wildlife
Difficult terrain or walking conditions
Falling out of the boat or falling into the water
Hitting or being hit by a piece of equipment
Colliding with or being pinned by natural or man-made objects
Improper First Aide and rescue (Good Samaritan law)
My own or others attempt to exceed rafting skills
My own or others failure to follow instructions provided by Action Rafting Co. Inc.
My own or others improper use of equipment
Equipment failure
Vehicle or pedestrian accidents while being transported on Action Rafting Co. Inc. vehicles.

I hereby agree to follow all rules and instructions given by Action Rafting Co. Inc. personnel concerning participation in any of their services. Action Rafting Co. Inc. reserves the right to refuse service to any person. Following are some, though not all, reasons that a person could be denied participation:

Being under the influence of alcohol or drugs.
Refusal to adhere to safety requirements or generally not cooperating with Action Rafting Co. Inc. personnel.
Less than appropriate age or size for existing river conditions.

I certify that everyone on whose behalf I’m signing is physically and mentally capable of participating in Action Rafting Co. Inc. activities.
I agree that Action Rafting Co. Inc. may use videos or photographs of trips for its promotional or commercial use. I have read this release of liability and assumption of risk agreement and fully understand the terms. I understand that I have given up substantial rights by signing this agreement and sign it freely and voluntarily without any inducement.

Print name clearly: ___________________________________________________________________________
Signature: __________________________________________________________________________________
Address: ___________________________________________________________________________________
City: _____________________________________State: _________________________ Zip: _______________
Phone: __________________________email: _____________________________________________________

Parent’s or Guardian’s additional indemnification:

In consideration of ________________________________________ (please print minor’s name) being permitted by Action Rafting Co. Inc. to participate in its activities and to use its facilities, I further agree to defend, hold harmless and indemnify Action Rafting Co. Inc. from all claims which are brought by or on behalf of said minor, and which are in any way connected with such use of participation by minor. It is further agreed that in the event of injury or emergency involving the minor, Action Rafting Co. Inc. is authorized to use its sole discretion to summon and consent to emergency or medical assistance and that any associated costs shall be the sole responsibility of the undersigned.

Parent / Guardian Signature: __________________________________________________________________
Emergency contact number: ___________________________________________________________________
Minor Signature: ____________________________________________________________________________
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