MARINE LIABILITY ACT. The Marine Liability Act, S.C. 2001, c.6, may limit the liability of the Operators in the event of an accident resulting in injury or death. In entering into this Agreement I am not relying on any oral or written representations statements made by the Releasees with respect to the safety of River Rafting Activities, other than what is set forth in this agreement. I CONFIRM THAT I HAVE READ AND UNDERSTOOD THIS AGREEMENT PRIOR TO SIGNING IT, AND I AM AWARE THAT BY SIGNING THIS AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS WHICH I OR MY HEIRS, NEXT OF KIN, EXECU- TORS, ADMINISTRATORS, ASSIGNS AND REPRESENTATIVES MAY HAVE AGAINST THE RELEASEES. Signed this day of , 20 . Signature of participant Print name clearly Witness Signature of guardian
MARINE LIABILITY ACT. The Marine Liability Act, S.C.2001,c.6, may limit the liability of the Releasees in the event of an accident resulting in injury or death. In entering into this Agreement I am not relying on any oral or written representations or statements made by the Releasees with respect to the safety of Rafting Activities, other than what is set forth in this Agreement. I CONFIRM THAT I HAVE READ AND UNDERSTOOD THIS AGREEMENT PRIOR TO SIGNING IT, AND I AM AWARE THAT BY SIGNING THIS AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS WHICH I OR MY HEIRS, EXECUTORS, ADMINISTRATORS, ASSIGNS AND REPRESENTATIVES MAY HAVE AGAINST THE RELEASEES. I confirm that I am of the full age of nineteen years. I FURTHER THAT I AM AWARE THAT BY SIGNING THIS AGREEMENT I AM REPRESENTING THAT I AM LEGALLY AUTHORIZED TO and AM IN FACT WAIVING CERTAIN LEGAL RIGHTS WHICH any and all minor children (under 19 years of age), if any, who are accompanying me, and their respective HEIRS, EXECUTORS, ADMINISTRATORS, ASSIGNS AND REPRESENTATIVES MAY HAVE AGAINST THE RELEASEES. Signed this day of , 20 . Signature of participant Witness Name Signature of Witness Print minor name clearly Signature of Parent or Legal Guardian Print name of Parent or Legal Guardian Clearly Print minor name clearly Signature of Parent or Legal Guardian Print name of Parent or Legal Guardian Clearly Print minor name clearly Signature of Parent or Legal Guardian
MARINE LIABILITY ACT. The Marine Liability Act, S.C. 2001,c.6. may limit the liability of the Operators in the event of an accident resulting in injury or death. In entering into this Agreement I am not relying on any oral or written representations or statements made by the Releasees with respect to the safety of Whitewater Activities, other than what is set forth in this Agreement. I CONFIRM THAT I HAVE READ AND UNDERSTOOD THIS AGREEMENT PRIOR TO SIGNING IT, AND I AM AWARE THAT BY SIGNING THIS AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS WHICH I OR MY HEIRS, EXECUTORS, ADMINISTRATORS, ASSIGNS AND REPRESENTATIVES MAY HAVE AGAINST THE RELEASEES. Signed on TODAY’S DATE:: ,20 Participant Signature Print Participant Name Parent / Legal Guardian Signature Print Parent / Guardian Name
MARINE LIABILITY ACT. The Marine Liability Act, S.C.2001,c.6, may limit the liability of the Releasees in the event of an accident resulting in injury or death In entering into this Agreement, I am not relying on any oral or written representations or statements made by the Releasees with respect to the safety of the Activities, other than what is set forth in this Agreement. I CONFIRM THAT I HAVE READ AND UNDERSTOOD THIS AGREEMENT PRIOR TO SIGNING IT, AND I AM AWARE THAT BY SIGNING THIS AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS WHICH I OR MY HEIRS, NEXT OF KIN, EXECUTORS, ADMINISTRATORS, ASSIGNS AND REPRESENTATIVES MAY HAVE AGAINST THE RELEASEE Program: Name (print clearly) Date: 20YY MM DD Signature of Participant Instructor(s): Witness 1. 1. 1. 2. 2. 2. 3. 3. 3. 4. 4. 4. 5. 5. 5.
MARINE LIABILITY ACT. The Marine Liability Act, S.C.2001,c.6, may limit the liability of the Operators in the event of an accident resulting in injury or death. In entering into this Agreement I am not relying on any oral or written representations or statements made by the Releasees with respect to the safety of Whitewater Activities, other than what is set forth in this Agreement. Print name clearly Signature of Parent or Legal Guardian I CONFIRM THAT I HAVE READ AND UNDERSTOOD THIS AGREEMENT PRIOR TO SIGNING IT, AND I AM AWARE THAT BY SIGNING THIS AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS WHICH I OR MY HEIRS, EXECUTORS, ADMINISTRATORS, ASSIGNS AND REPRESENTATIVES MAY HAVE AGAINST THE RELEASEES. Signed this day of , .
MARINE LIABILITY ACT. The Marine Liability Act, S.C. 2001, c.6, may limit the liability of the Operators in the event of an accident resulting in injury or death. In entering into this Agreement I am not relying on any oral or written representations statements made by the Releasees with respect to the safety of River Rafting Activities, other than what is set forth in this agreement. Use date that you are signing the waiver I CONFIRM THAT I HAVE READ AND UNDERSTOOD THIS AGREEMENT PRIOR TO SIGNING IT, AND I AM AWARE THAT BY SIGNING THIS AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS WHICH I OR MY HEIRS, NEXT OF KIN, EXECU- TORS, ADMINISTRATORS, ASSIGNS AND REPRESENTATIVES MAY HAVE AGAINST THE RELEASEES. Use parent/ guardian’s information Use child’s information Signed this day of , 20 . Signature of participant Use child’s information Use parent’s information Print name clearly Signature of guardian Witness (for participants under 19 yrs of age)
MARINE LIABILITY ACT. The Marine Liability Act S.C.2001,c 6 may limit the liability of the Operators in the event of an accident resulting in injury or death. In entering into this Agreement I am not relying on any oral or written representation of statements made by the Releasees with respect to the safety of Canyon Activities, other than what is set forth in this Agreement. I CONFIRM THAT I AM 18 YEARS OR OLDER, HAVE READ AND UNDERSTOOD THIS AGREEMENT BEFORE SIGNING IT, AND I AM AWARE THAT BY SIGNING THIS AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS WHICH I OR MY HEIRS, EXECUTORS, ADMINISTRATORS, ASSIGNS AND REPRESENTATIVES MAY HAVE AGAINST THE RELEASEES. Signature of Participant: day of , 20 . Signed this: Print Name of Witness:
MARINE LIABILITY ACT. The Marine Liability Act, S.C.2001,c.6, may limit the liability of the Operators in the event of an accident resulting in injury or death. In entering into this Agreement I am not relying on any oral or written representations or statements made by the Releasees with respect to safety of Whitewater Activities, other than what is set forth in this Agreement. I CONFIRM THAT I HAVE READ AND UNDERSTAND THIS AGREEMENT PRIOR TO SIGNING IT, AND I AM AWARE THAT BY SIGNING THIS AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS WHICH I OR MY HEIRS, EXECUTORS, ADMINISTRATORS, ASSIGNS AND REPRESENTATIVES MAY HAVE AGAINST THE RELEASEES. Participant Signature Date Signed Witness Signature
MARINE LIABILITY ACT. The Marine Liability Act, S.C.2001,c.6, may limit the liability of the Operators in the event of an accident resulting in injury or death. IN ENTERING INTO THIS AGREEMENT I AM NOT RELYING ON ANY ORAL OR WRITTEN REPRESENTATIONS OR STATEMENTS MADE BY THE RELEASEES WITH RESPECT TO THE SAFETY OF WHITEWATER ACTIVITIES, OTHER THAN WHAT IS SET FORTH IN THIS AGREEMENT. I CONFIRM THAT I HAVE READ AND UNDERSTOOD THIS AGREEMENT PRIOR TO SIGNING IT, AND I AM AWARE THAT BY SIGNING THIS AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS WHICH I OR MY HEIRS, EXECUTORS, ADMINISTRATORS, ASSIGNS AND REPRESENTATIVES MAY HAVE AGAINST THE RELEASEES. Signed this _ day of , 20 . Print Participant Name Witness Participant Signature Parent or Legal Guardian Signature How did you hear about Destiny River Adventures? Please check all applicable categories Destiny River Brochure Xxxxxxxx River Tourism Radio Ad Consumer Show Adventure Guide Internet Word of Mouth Repeat booking Accommodation Provider Yellow Pages Booking Centre
MARINE LIABILITY ACT. The Marine Liability Act, S.C. 2001. c.6, may limit the liability of the Releasees in the event of an accident resulting in injury or death. In entering into this Agreement, I am not relying on any oral or written representations or statements made by the Releasees with respect to the safety of the Activities, other than what is set forth in this Agreement. Date this waiver is signed I CONFIRM THAT I HAVE READ AND UNDERSTAND THIS AGREEMENT PRIOR TO SIGNING IT, AND I AM AWARE THAT BY SIGNING THIS AGREEMENT I AM WAIVING. CERTAIN LEGAL RIGHTS WHICH I OR MY HEIRS, NEXT OF KIN, EXECUTORS, ADMINISTRATORS, ASSIGNS AND REPRESENTATIVES MAY HAVE AGAINST THE RELEASEES. PRINT NAME SIGNATURE* Staff WITNESS * IF UNDER AGE OF 18 WAIVER MUST BE SIGNED BY PARENT OR LEGAL GUARDIAN STAFF –time out Nickel District Conservation Authority 000-000-0000 Craft $ Per Hour $ Per Day Total $ Notes Kayak 1 12 40 Kayak 3 12 40 Kayak 4 12 40 Canoe 1 15 50 Canoe 1 15 50 Canoe 3 15 50 Canoe 4 15 50 Sit On Kayak 1 12 40 Sit On Kayak 2 12 40 Tandem Kayak 15 50
