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Chicago Kayak

WAIVER AND RELEASE OF LIABILITY (IMPORTANT - READ BEFORE SIGNING!) 

In consideration of being allowed to participate in any way in a Chicago Kayak, Inc. athletics/sports/kayaking program, and related events and activities, the undersigned agree to the following: 

1. Participant: Prior to participating, I will inspect the facilities and equipment to be used, and if I believe anything is unsafe, I will immediately advise a coach, instructor, supervisor, or other event organizer of such condition(s) and refuse to participate. 

3. I acknowledge and fully understand that each participant will be engaging in activities that involve risk of damage to personal property or serious injury, including permanent disability and death, and severe social and economic losses which might result not only from my own actions, inactions or negligence, but the actions, inactions or negligence of others, the rules of play, the condition of the premises, or of any equipment used. Further, there may be other risks not known or not reasonably foreseeable at this time. 

4. We assume all the foregoing risks and accept personal responsibility for all expenses, medical or otherwise, following any such damages, injury, permanent disability or death. 

5. We release, waive, discharge and covenant not to sue Chicago Kayak, 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 the participant, 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. 
6. 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.

WE HAVE READ THE ABOVE WAIVER AND RELEASE, UNDERSTAND THAT WE HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGNED IT VOLUNTARILY.

Please provide the following contact information:

Name
Phone
E-mail

Please identify and describe yourself:

Date of Birth
Height

Please list what you have signed up for and the respective date and time:

Class/Trip

What is your current skill level?:
Beginner =new to kayaking
Intermediate= you have taken some classes before, maybe have your own kayak. Can perform a wet exit, t-rescue and self rescue
Advanced=participated in mulitday kayak trips, have advanced rescue and paddling skills.  Can lead groups and are self sufficient.


I understand all the conditions outlined in this waiver and agree to said conditions by hitting the submit button.

Yes
No


Author information goes here.
Copyright © 2003 [Chicago Kayak]. All rights reserved.
Revised: 04/06/09