Fillable Printable Waiver and Release of Liability Form

Waiver and Release of Liability Form

Assumption of Risk Waivers

Read Carefully – Waiver and Release of Liability • Please initial below and sign on the other side.

In consideration of AMERICAN WHITEWATER EXPEDITIONS, INC. furnishing services and/or equipment to enable me to participate in rafting activities,

I agree as follows:

As a result of the inherent risk in this activity, I know I may die, get hurt, or damage my belongings. If any of these occur, I understand that I cannot

make a claim, sue, or expect AMERICAN WHITEWATER EXPEDITIONS, it’s owners, shareholders, officers, agents, employees, subsidiaries, affiliated

companies and associates, including but not limited to American River Recreation, American River Rafting, Pacific Gas and Electric Company, Placer

County Water Agency, Sacramento Municipal Utility District, the State of California, its Department of Parks and Recreation and the United States

Bureau of Reclamation (hereinafter referred collectively as RELEASEES) to be legally responsible or pay for any damages.

ACKNOWLEDGMENT AND ACCEPTANCE OF RISK: I, the undersigned, hereby acknowledge that I have voluntarily chosen to go on this whitewater

rafting trip with RELEASEES. Certain risks are inherent in any recreational activity and cannot be eliminated, altered, or controlled, and these risks

that contribute to the unique character of the activity can also be the cause of injury, illness, death, and damages. I know and fully understand that

a whitewater rafting trip, whether on a raft, oar boat, kayak or any other type of vessel, is an outdoor adventure activity in a wilderness environment

with inherent risks and hazards where serious accidents can occur, participants can die, sustain injuries and property damage. Also, I understand

that Class IV and V represent the most difficult and dangerous levels of whitewater and recognize that the risks associated with whitewater rafting

are greatly increased. I acknowledge and willingly assume all risks and hazards in whitewater rafting and river-related camping from the pre-

embarkation rendezvous until the conclusion of the trip, including, but not limited to: (1) loss of control of the raft, fall in, out, or about the raft,

collision with other participants, equipment, other rafts, rocks, trees, and any other portion of the interior of the raft, and any other man-made or

natural obstacles, whether obvious or not (2) judgment, decision making, and conduct of the guides (3) submersion in water, drowning (4) encounters

with animals, wildlife and insects (5) exposure to wilderness environment, extreme temperatures, and inclement weather, remote areas, wilderness

terrain, including travel by foot or vehicle in any way related to this activity, whether at camp or elsewhere (6) assistance in lifting and/or carrying

rafting equipment (7) rescue related injuries (8) unavailability of immediate and appropriate medical attention in case of injury. I understand and

acknowledge that the above list is not complete or exhaustive and that other risks, known or unknown, anticipated or unanticipated may also exist

and result in injury, illness, disease, death or damage. My participation in this activity is purely voluntary and I elect to do so at my own risk.

RELEASE: In consideration for RELEASEES allowing me to participate in this trip, I voluntarily agree to release, discharge, and hold harmless

RELEASEES for any and all claims of liability to the fullest extent authorized by law arising out of their negligence, fault, recklessness, or any other

act or omission which causes the undersigned illness, injury, disease, death and damages of any nature in any way connected with my participation

in this rafting activity. I also agree to release and discharge RELEASEES from any act of omission or negligence in rendering or failing to render any

type of rescue, emergency, or medical services. In signing this document, I fully recognize and understand that if I (or any minor on whose behalf I

am signing this release) am hurt, die, or my property is damaged, I am giving up my right to make a claim or file a lawsuit against RELEASEES, even

if they negligently or by some act or omission cause personal injury or damage property. I further agree to hold harmless, defend, and indemnify

RELEASEES from all defense costs, including attorney’s fees incurred in connection with claims for bodily injury, wrongful death, or property damage

sustained by any minor on whose behalf I am signing under 18 years of age, or which I may have caused to spectators or other third parties, whether

negligent or not, in the course of my participation in this activity. As a parent or legal guardian of a participant under 18 years of age, I have

read and voluntarily agree that said minor may participate in this whitewater rafting trip, and I sign this release on their behalf and on the behalf

of the minor’s parents and /or legal guardians. In addition, I give RELEASEES permission to treat said minor in case of illness, injury, emergency or

accident. Should emergency medical services become necessary for the undersigned participant or minor, the expenses are the sole responsibility

of the participant and not that of RELEASEES. Personal medical and travel insurance is strongly advised for all participants.

RELEASEES reserve the right to accept or deny service to any person. I hereby agree to follow all rules, regulations, and instructions of RELEASEES

while on this trip. I also certify that I and any minor on whose behalf I am signing are physically and mentally capable of participating in these

activities. I hereby represent that I have informed RELEASEES of any pertinent medical conditions that may affect my or the minor’s participation

in these rafting activities. I hereby agree that RELEASEES may use film or photographic records of this rafting trip for its promotional and/

or commercial purpose. The venue of any dispute that may arise out of this agreement or otherwise between the parties to which AMERICAN

WHITEWATER EXPEDITIONS, INC., its owners, shareholders, officers, agents, employees, subsidiaries, affiliated companies and associates,

including American River Recreation and American River Rafting is a party shall be the Superior Court of the State of California, County of El Dorado.

I HAVE READ THIS DOCUMENT IN ITS ENTIRETY. I understand that I am assuming all the risks inherent in this whitewater rafting activity.

I understand that it is a release of any and all claims. I understand that this is the entire agreement between the undersigned, AMERICAN

WHITEWATER EXPEDITIONS, INC., and any and all releasees as previously listed and that it cannot be modified or changed in any way by the

representations or statements by AMERICAN WHITEWATER EXPEDITIONS, INC., and all releasees or by the undersigned. I voluntarily sign my name

as evidence of my acceptance of all provisions in this release and I agree to be bound by them.

I have read & agree to the conditions, especially noting the policy on cancellations and refunds, as stated in the website & confirmation, or available by

calling (800) 825-3205.

I understand that insurance to cover the above risks may be obtained from Access America. Policy applications are available upon request only

from ACCESS AMERICA AT (800) 284-8300.

Initials:____

ADULT OR GUARDIAN NAME (PLEASE PRINT CLEARLY:) AGE

MINOR’S NAME(S) (PLEASE PRINT CLEARLY:) AGE(S)

TRIP DATE(S) (PLEASE PRINT CLEARLY:) RIVER (CIRCLE) MERCED KAWEAH

SOUTH FORK MIDDLE FORK NORTH FORK

ADDRESS: APT./SUITE

CITY STATE ZIP

PHONE:

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Please complete the following if you would like to receive specials, river news and stories, etc. via email:

EMAIL ADDRESS: _________________________________________________________________________________

ONLY COMPLETE IF THERE IS A PROBLEM WE SHOULD BE INFORMED OF PRIOR TO YOUR TRIP. FILL OUT

AND GIVE TO YOUR HEAD BOATMAN OR OTHER STAFF PERSON.

NAME __________________________________________________________________ AGE (if minor) __________

Do you have any physical disabilities that might affect your safety on the trip? If yes, please explain. _______

_______________________________________________________________________________________________________

Are you allergic to: Bee Stings? _________ Foods? __________________________________________________

Other? _______________________________________________________________________________________________

I HAVE READ THE WAIVER AND RELEASE ON THE REVERSE SIDE AND BY SIGNING IT AGREE. IT IS MY INTENTION TO EXEMPT

AND RELIEVE AMERICAN WHITEWATER EXPEDITIONS, INC. FROM LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE OR

WRONGFUL DEATH CAUSED BY NEGLIGENCE OR ANY OTHER CAUSE.

I am assuming the stated risks and entering into this Waiver and Release and am the parent or legal

guardian of the above-named minor(s), and am assuming the stated risks and entering into this Waiver

and Release on behalf of the minor(s) named above, as well as myself, and I am agreeing to its terms on

his or her behalf, as well as his or her heirs, executors, administrators and assigns.

Initials:____

_____________________________________________________________ ___________ __________________

SIGNATURE AGE DATE

_______________________________________________ _____________________________________________

PRINT NAME RELATIONSHIP TO MINOR(S) ABOVE

Form RL (R 04/15)