Wrightsville Kayak Co. - Kayaks & Paddleboards
910 599 0076

RELEASE OF LIABLITY - PLEASE READ BEFORE SIGNING



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Full Name
Your Full Name
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Emergency Contact
Emergency Contact
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Cell Number
Cell Number
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Rental Date and Equipment Rented:
Rental Date and Equipment Rented:
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In consideration of being allowed to participate in any way in Wrightsville Kayak Company's operations, its related events and activities, I,





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Your First Name
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Your Last Name
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the undersigned, acknowledge, appreciate, and agree that:
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1. The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular skills, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and,

2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation ; and ,

3. I willingly agree to comply with the stated and customary terms and conditions for partici pation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of Wrightsville Kayak Company personnel immediately; and,

4. I, for myself and on behalf of my heirs, assig ns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS WRIGHTSVILLE KAYAK COMPANY, their officers , officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of premises used for the activity ("Releasees"),WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property associated with my presence or participation ,WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

5. I (and my childfguardianship) will pay attention to and will adhere to all safety and procedural information and materials provided by Wrightsville Kayak Company.

6. I am aware that a tandem kayak is designed to carry two adult people, that a solo kayak is designed to carry one person, that each can carry a moderate amount of gear, and that an overloaded boat can be unstable, unpredictable, and dangerous.

7. Renter shall obey all state and local Boating Regulations, and all lawful directives from appropriate emergency or law enforcement personnel, while operating or renting the boats. In the event of a citation for violation of these rules the Renter shall be solely responsible. Renter agrees to immediately notify Lessor of any incidents or injuries occurring while renting boats.

8. Renter represents that he or she is capable of operating the Equipment and finds it in good working order, condition and repair. Renter will return such Equipment at the end of the rental period in the same wor1dng order and condition as found .

I HAVE READ THIS RELEASE OF lIABLILTY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT,AND SIGN IT FREELY AND VOLUNTARILY WITHOUT INDUCEMENT. I CERTIFY THAT I POSSESS FULL LEGAL CAPACITY TO EXECUTE THE FOREGOING AUTHORIZATION,

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Print Name
Print Name
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Your Age:
Your Age
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Today's Date:
Select a date
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For Parents / Guardians of Participants of Minority Age (under age 18 at lime of signing )



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Names and Ages of Minors:
Names and Ages of Minors:
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This is to certify that I, as parent / guardian with legal responsibility for this participant, do consent and agree to his/her release as provide above all Releasees, and, for myself, my child and our heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and ali liabilflies incident to my minor child's involvement or participation in these programs as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law.



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Parent / Guardian 's Signature:
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Today's Date:
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