READ CAREFULLY
you will have to sign prior to going on River
WAIVER AND RELEASE OF LIABILITY
In consideration of New River Fishing furnishing services, food and/or equipment
to enable me to participate in canoeing, kayaking, rafting, tubing, meals,
camping, lodging and any other activities offered by New River Fishing, 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 New River
Fishing equipment and my participation in New River Fishing 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, partial 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 owners, employees, officers or agents of New River Fishing ;
the negligence of the participants, the negligence of others, accidents,
breaches of contract, the forces of nature or other causes. Risks and dangers
may arise from foreseeable or unforeseeable causes including, but not limited
to, map, video, trip descriptions that may misjudge terrain, weather, trail or
river route location, and water level, risks of falling out of or drowning while
in a raft, canoe, tube or kayak and such other risks, hazards and dangers that
are integral to recreational, meal, and camping activities and/or use of
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 owners, agents, officers, or employees of New River
Fishing, 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 New River Fishing and its owners, agents, officers and employees 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 my use of
New River Fishing equipment or my participation in New River Fishing activities.
I specifically understand that I am releasing, discharging and waiving any
claims or actions that I may have presently or in the future for the negligent
acts or other conduct by the owners, agents, officers or employees of New River
Fishing.
The Venue of any dispute that may arise out of this agreement or otherwise
between the parties to which the New River Fishing or its agents is a party
shall be in the County Courts in Montgomery or Pulaski or Giles or Carroll or
Wythe County.
I permit the use of any photos, slides, films, or sketches of him/her taken
during the day’s activities for publicity, advertising, promotion or other
commercial purpose.
I HAVE READ THE ABOVE WAIVER AND RELEASE AND BY SIGNING IT AGREE. IT IS MY
INTENTION TO EXEMPT AND RELIEVE NEW RIVER FISHING FROM LIABILITY FOR PERSONAL
INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH CAUSED BY NEGLIGENCE OR ANY OTHER
CAUSE.
NAME (PRINTED)-----------------------------------------
SIGNATURE----------------------------------------------
MAILING ADDRESS-------------------------------------
CITY, STATE, ZIP----------------------------------------
PHONE NUMBER----------------------------------------
EMAIL----------------------------------------------------
PARENT/GUARDIAN PERMISSION FORM
(This form to be used for minors only-must be signed prior to going on
river)
I hereby grant permission for my child(ren)_____________________
_______________________________ _____________________ to participate in
whitewater rafting, kayaking,, canoeing, tubing, meals or camping at New River
Fishing on (date) ______________, and I hereby agree as follows:
I fully understand and acknowledge that: (a) risks and dangers exist in my
child’s use of rafting,, kayaking, canoeing, tubing or camping equipment and my
child's participation in rafting, kayaking, canoeing, tubing, meals or camping
activities; (b) my child’s participation in such activities and/or use of such
equipment may result in injury or illness or death or damage to personal
property (c) these risks and dangers may be caused by other participants, or by
accidents, or by the forces of nature or other causes. Risks and dangers may
arise from foreseeable or unforeseeable causes including, but not limited to,
selection of trail or river route, water level, weather conditions, risks of
falling out of a raft, kayak, canoe or tube and such other risks, hazards and
dangers that are integral to recreational activities that take place in a
wilderness, outdoor or recreational environment; and (d) I hereby accept and
assume these risks and dangers.
I have been advised that my child must wear an approved personal flotation
device at all times while on the water. I affirm that my child will not be under
the influence of alcohol or controlled substance, and will not carry, use, or
consume these substances before or during her/his scheduled activities. Any
claims or dispute arising from my child’s participation in New River Fishing
activities or use of New River Fishing equipment shall be venued in the County
Courts of Montgomery or Pulaski or Giles or Carroll or Wythe County.
The State of Virginia.
My child is in good health for each activity in which he/she will participate. I
understand that strenuous physical exertion may be required and my child has no
known physical disabilities or health problems, which will present any risk to
his/her participation in the activities. I permit the use of any photos, slides,
films, or sketches of him/her taken during the days activities for publicity,
advertising, promotion or other commercial purpose. The above agreement shall be
binding on my heirs, successors, assigns, administrators and executors.
I HAVE READ THE ABOVE AND BY SIGNING IT AGREE. IT IS MY INTENTION TO GRANT
PERMISSION FOR MY CHILD TO PARTICIPATE IN NEW RIVER FISHING RAFTING, KAYAKING,
CANOEING, TUBING, MEALS OR CAMPING ACTIVITIES, AND TO ASSUME AND ACCEPT ALL
RISKS ASSOCIATED THEREWITH.
Group Name (if applicable) ________________________________________________
Parents Name (Print) _______________________________
Signature _________________________________
Street and Apt. Address: __________________________________________________
City: _______________________________________
State: _____Zip: ___________
Childs Name: ____________________________________
Age: ____ Trip Date: ________
Childs Signature: ____________________________________
DO NOT LOOSE-PLEASE GIVE COMPLETED FORM TO YOUR GUIDE to be turned in day of
trip