|
PANGAEA RIVER RAFTING’S LIABILITY WAIVER/INDEMNIFICATION
AGREEMENT
RIVER RAFTING IS DANGEROUS AND MAY RESULT IN DEATH OR OTHER
BODILY INJURY! BECAUSE OF THE INHERENT RISK IN
OUTDOOR ADVENTURE ACTIVITIES, WE CANNOT BE RESPONSIBLE FOR
PERSONAL INJURY OR LOST OR DAMAGED ARTICLES.
PARTICIPATION IS AT YOUR OWN RISK!
In consideration of the services of Pangaea River Rafting,
Inc., their officers, guides, employees and all other
persons or entities associated with Pangaea River Rafting
(hereinafter referred to as Pangaea), I agree and am
legally bounded by my signature as follows:
I understand and accept that certain risks are inherent in
whitewater rafting and cannot be eliminated or
reduced. The same inherent risks that contribute to
the unique character of river rafting can be the cause of
loss or damage to my equipment, my body and/or my life;
these could include but are not limited to: personal
equipment such as cameras, eyeglasses, and clothing, or
INJURY, ILLNESS, PARALYSIS, TRAUMA OR DEATH. I
UNDERSTAND AND ACKNOWLEDGE THAT THERE ARE RISKS, HAZARDS
AND DANGERS THAT ARE INHERENT AND INTEGRAL TO RIVER RAFTING
AND ACTIVITIES ASSOCIATED WITH RIVER RAFTING. I ALSO
UNDERSTAND THAT I WILL NOT HOLD PANGAEA RIVER RAFTING, ITS
GUIDES OR OWNERS LEGALLY RESPONSIBLE FOR SUCH OCCURRENCES.
It is my responsibility to understand these risks may
include but are not limited to:
1. The risks
involved in guide decision making and conduct in connection
with recreational activities in a wilderness
environment. These risks include without limitation
the risk that a guide may misjudge my capabilities, or
misjudge terrain, water, trail, river route location, water
level or weather.
2. Risks of
trauma to the body including, but not limited to, sprains,
twists, cuts and bruises of any and all body parts as a
result of, but not limited to:
a. Abrupt
physical contact with another passenger or guide due to
myself or another member of my boat’s crew falling on or
into me while in the boat
b. Lose control
of a paddle or oar
c. Bodily impact
with and/or into equipment associated with river rafting
d. Falling out of
the raft and being helped back into the raft or to shore
e. The raft
bumping a rock, obstacle, or another raft
f. Debris
or rocks in water or on shore
g. The raft
ripping, wrapping or flipping
h. Attempting to
lift a heavy object associated with rafting
i. My life
jacket coming unbuckled
3. Risks of
drowning in a river or stream, or falling out or drowning
while on a raft and being killed or injured or hypothermic,
or being wet, cold and uncomfortable.
4. Risks related
with being overweight, underweight, pregnant, having heart
trouble, vision impairment or any other disability that may
hinder my reaction time to any inherent risk that occurs in
a wilderness outdoor environment or affect my health when
being over-exerted. PANGAEA REQUESTS ME TO INFORM
THEM OF ANY AND ALL POSSIBLE HANDICAPS, MEDICAL ALLERGIES
OR OTHER PHYSICAL HINDRANCES I MAY HAVE IN ORDER TO BETTER
PREPARE PANGAEA TO HELP ME IN THE CASE OF AN EMERGENCY.
I acknowledge that the above description of the inherent
risks is not complete and that there are other risks,
hazards and dangers associated with participating in
recreational activities in an outdoor environment that may
be unknown or unanticipated. I acknowledge that
Pangaea has been available to me to fully explain to me the
risks of these activities. I understand that I have
responsibilities as a participant in these
activities. There are no mental or physical problems
or limitations associated with my participation in the
recreational activities which I have not disclosed to
Pangaea. I am fully capable of participating in these
activities. I understand that the presence of
Pangaea’s personnel is no assurance of my safety or the
lessening of any of these risks; I AM VOLUNTARILY
PARTICIPATING IN THE RECREATIONAL ACTIVITIES OF PANGAEA
WITH FULL KNOWLEDGE OF THE RISKS, HAZARDS, AND DANGERS
INVOLVED AND HEREBY ASSUME AND ACCEPT ANY AND ALL RISKS OF
DAMAGE, INJURY, ILLNESS, and PARALYSIS OR DEATH.
I have read and accepted the terms of this sheet herein and
acknowledge that this agreement shall be effective and
binding upon me, my heirs, assigns, personal
representatives and estate, and for all family, including
any minors accompanying me.
I hereby give Pangaea River Rafting permission to use any
photographs taken on this adventure in brochures, websites,
posters and/or all printed materials.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - -
Date________________________________
Printed Name (18 &
older)_______________________________________________________________
Address:_______________________________________City:__________________________________
State:____________Zip:_________________
Email:__________________________________________________________
Phone__________________________________________________________
Signature (18 &
older)__________________________________________________________________________________
What River Are You Rafting (circle one)? Clark Fork
River Blackfoot
River Spokane River
What Kind of Trip Are You On (circle one)?
Whitewater Easy
Floating Wine
Float Team
Building Guide Training
PARENTS AND/OR GUARDIANS Please fill out the information
above, review this document with your kid(s) and print
their names below.
Print kid(s) names
here________________________________________________________________________________
|