Living Waters Participation Form/Waiver

Participant First Name *

Participant Last Name *

Phone *

Arrival Date *

Group Name *

Email *

Please read carefully and then agree by selecting the box on the following items: *

In consideration of Living Waters furnishing services and/or equipment to enable me to participate in whitewater activities, I agree as follows: I fully understand and acknowledge that outdoor recreational activities have: a) inherent risks, dangers, and hazards and such exists in my use of paddling equipment and my participation in paddling activities and related activities; b) my participation in such activities and/or use of such equipment may result in injury or illness including but not limited to bodily injury, disease, strains, fractures, full and/or total paralysis, death, or other ailments that could cause serious disability; c) these risks and dangers may be caused by the negligence of the ministry, contractors, volunteers, employees, church camp operators, or agents of Living Waters.

Risks and dangers may arise from foreseeable and unforeseeable causes including, but not limited to, staff decision making, including that staff may misjudge terrain, weather, transportation, trail or river route location, and water level, risks of falling out of or drowning while in equipment and such other risks and hazards or dangers that are integral to recreational activities taking place in a wilderness, outdoor, camp, or recreational environment, and d) by my participation in these activities and/or equipment, I hereby assume all risks and dangers, and all responsibility for any losses and/or damages, whether caused in whole or in part by the negligence or other conduct of the ministry volunteers, agents, officers, camp staff, or by any other person. I, on behalf of myself, my personal representatives, and my heirs, hereby voluntarily agree to release, waive discharge, hold harmless, defend and indemnify Living Waters Christian Canoe Ministry, the private land owners traveled, the land owners donating use of their property, the volunteer staff and contract staff from any and all claims, actions, or losses for bodily injury, property damage, wrongful death, loss of services, or otherwise which may arise out of m use of paddling equipment or my participation in paddling activities, transportation, camp recreation, and related activities.

I specifically understand that I am releasing, discharging, and waiving any claims that I may have presently or in the future for the negligent acts or other conduct by the ministry volunteers, agents, officers, camp staff, or by any other person. I hereby authorize Living Waters and its photographic agents to take and utilize photographs of me for the purpose of sale, promotion, and advertising. I understand that I as participant or parent of participant must be of required age to sign. I hereby authorize Living Waters and/or its agents to consent to medical treatment and authorize Medical Care providers to administer care deemed warranted.

Please acknowledge the following by checking the box:

I HAVE READ THE ABOVE WAIVER AND RELEASE AND AGREE IT IS MY INTENTION TO EXEMPT AND RELIEVE LIVING WATERS FROM LIABILITY OR PERSONAL INJURY, PROPERTY DAMAGE, LOSS OF SERVICES, OR WRONGFUL DEATH CAUSED BY NEGLIGENCE OR ANY OTHER CAUSE.

Please Enter Participant or Parent/Guardian Name: By entering my name and selecting submit button, I am signing this document electronically. I agree that my electronic signature is the legal equivalent of my manual/handwritten signature on this document.

Full Name (Parent/Guardian if Participant under 18) *

Today's Date *

Please select today's date

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Full Name

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