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Waiver/Release Form
KNOW EVERYONE BY THESE PRESENTS: WHEREAS, I (we), , intend, or am about, to engage in
boating activities upon rivers, lakes, and/or other waterways, which activities have been organized by the POUDRE PADDLERS
CLUB of Fort Collins, Colorado; and
WHEREAS, I (we) am doing so entirely upon my (our) own initiative, risk, and responsibility, and am duly aware that risks and
hazards are, or may be, inherent in such boating activities; and
WHEREAS, I (we) elect voluntarily to engage in such activities having only limited knowledge of conditions and understanding
that conditions may be more hazardous and dangerous than I (we) presently believe; I (we) further understand and expect that
my (our) conduct during such activities shall be dictated by my (our) own decisions as to if and how to deal with any particular
stretch of river, lake or other waterway; and
WHEREAS, I (we) understand that the POUDRE PADDLERS CLUB, its officers, directors, and trip leaders in particular and its
members in general organize such activities solely for the pleasure and enjoyment of the participants; and
WHEREAS, I (we) am (are) supplying for my (our) own use such first aide, safety and medical supplies as I (we) deem
necessary and I am (we are) not relying upon the members or leaders for such items; and
WHEREAS, I (we) recognize that neither the POUDRE PADDLERS CLUB, nor its several officers, directors, members and
leaders are responsible for my (our) participation in any particular activity nor for the participation of other people and that in no
event is the Club or its officers, directors, members or leaders responsible for my (our) conduct or the conduct of others sharing
such participation; and
WHEREAS, my (our) participation is in no way based upon any representations made by any members, officers, director or
leader as to the difficulty, danger or hazard of such activities, but rather because of my (our) independent desire to participate in
such activities with other people with similar interests.
NOW, THEREFORE, I (we) do hereby, for myself (ourselves), my (our) heirs, executors, assigns, administrators, release and
forever discharge the POUDRE PADDLERS CLUB of Fort Collins, Colorado, and all of its actions or causes of actions now or
hereafter arising on account of my (our) death or on account of any injury to me (us) or damage to my (our) property, or on
account of the injury or death suffered by any other person which may occur from any cause while I (we), or any other person,
may be engaged in activities of the POUDRE PADDLERS CLUB, including therein all ground and transportation operations
incident thereto unless such death, injury, or harm results from gross negligence or willful misconduct. This Waiver/Release
shall be binding in all its terms for all activities of the POUDRE PADDLERS CLUB.
As the parent(s) or guardian(s) of the minor(s) listed below, I (we) approve of my (our) child’s (children’s) or ward(s)’s participation in the activities. I am (we are) aware that the attendant risks, hazards, potential for injuries, loss or death stated in the Waiver/Release may well be greater for a minor participation, but I (we) assume these risks as parent(s) or guardian(s) of the named children and herewith forever release, remise and discharge the POUDRE PADDLERS CLUB as specified in the foregoing Waiver/Release.
*
Indicates required field
Name of Adult 1
*
First
Last
Name of Adult 2
*
First
Last
Minor children under the age of 18 who may attend activities
*
Date:
*
Certify:
*
I (WE) HEREBY CERTIFY that I (we) have read the foregoing WAIVER/RELEASE, understand it in all its terms and conditions and sign it voluntarily and intelligently
Submit
Home
Conservation
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Join Poudre Paddlers
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