WAIVER AND RELEASE OF LIABILITY
In consideration of being
allowed to participate in any way in the activities and programs of Keyes Canoe
Rental, Inc. d/b/a Ozark Outdoors Riverfront Resort (hereinafter referred to as
Ozark Outdoors) including canoeing, boating, rafting, floating, camping,
lodging, meals, food services, and other related activities, I, the
undersigned, acknowledge and agree as follows:
1. I understand that the above activities, and other
related activities, carry substantial risks and dangers, and that I can receive
personal injuries, fatal injuries, and property damage.
2. I understand that the dangers may include, but are not
limited to, the following:
§
hazards of
traveling on a canoe, raft, kayak or other devices used for floating, in
normal, rough or flooded river conditions;
§
hazards of
jumping, diving, or being thrown into unfamiliar water with submerged hazards,
undercut rocks and logs, rocks and manmade hazards;
§
hazards of being
pinned against trees, rocks, roots, or other objects;
§
contact with
paddles, helmets, other guests, food boxes, coolers, or other containers;
§
hazards of
walking, riding, biking or horseback riding in rough terrain;
§
strains or
sprains; fractures or punctures; partial and/or total paralysis; death;
drowning;
§
accidents; loss or
damage to personal property; slips and falls;
§
snake bites,
insect bites, bee stings, and allergic reaction to plants such as poison ivy;
§
illnesses or
injuries in remote places without medical facilities;
§
failure or lack of
communication equipment;
§
entrapment in
caves; falls or jumps from manmade and natural cliffs or bluffs;
§
hazards of
entering and leaving the canoe, boat, raft or other floatation device;
§
hazards of loading
or unloading people or materials from vehicles;
§
hazards of the
forces of nature, including wind and lightning;
§
falling limbs or
trees;
§
problems or
hazards related to travel by automobile, bus, ATV or any other conveyance;
§
eye injuries
including blindness;
§
heat stroke;
§
problems or
hazards related to consumption of alcoholic beverages or controlled substances
by myself or others.
3. I fully understand and acknowledge that all of the
risks and dangers involved in my activities while at Ozark Outdoors, including
the above risks and dangers, may be caused by the negligence of Ozark Outdoors,
its employees, officers and agents, or it may be caused by the negligence of
other participants, accidents, breaches of contract, the forces of nature or
other causes and that these risks and dangers may arise from foreseeable or
unforeseeable causes.
4. BY MY
PARTICIPATION IN ANY ACTIVITIES AND/OR USE OF EQUIPMENT, I KNOWINGLY AND FREELY
ASSUME ALL RISKS KNOWN AND UNKNOWN, EVEN IF ARISING FROM THE NEGLIGENCE OF OZARK
OUTDOORS, OR OTHERS, AND ASSUME FULL RESPONSIBILITY FOR MY PARTICIPATION IN ANY
ACTIVITIES PROVIDED BY OZARK OUTDOORS.
5. I willingly agree to comply with the terms and
conditions for participation in any activity or service provided by Ozark
Outdoors. If I observe any unusual significant hazard during my presence or
participation, I will remove myself from participation and immediately bring
same to the attention of the nearest agent or employee of Ozark Outdoors.
6. By participating in, or attending, any activity or
service provided by Ozark Outdoors, whether on or off the premises, I consent
to the use of any photographs, pictures, film, or videotape taken of me or
provided by me for publicity, promotion, television, websites or any other use,
and expressly waive any right of privacy, compensation, copyright or other
ownership right connected to same.
7. I acknowledge that the use of alcohol or the use of any
controlled substance or illegal substance, may affect the skill, knowledge, and
physical requirements of any activity in which I am participating and may
increase the risk of property damage, personal injury, or death.
8. I, on behalf of myself, my personal representatives, my
heirs, assigns, next-of-kin, and any minor children for which I am responsible
, hereby release, indemnify, hold
harmless, discharge and defend Keyes Canoe Rental, Inc. d/b/a Ozark Outdoors
Riverfront Resort, its officers, owners, agents, and employees, and all
owners of any premises or real property where any activities may occur, and any
sponsors of any events of any type, kind and description, from any and all claims, actions, suits, debts, liabilities,
judgments, demands and liability arising out of or related to any injury, disability, death, or property
damage I may suffer, or loss of damage to person or property, whether arising
from the negligence of Ozark Outdoors, or otherwise.
9. 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 Ozark
Outdoors, for personal injury, property damage or wrongful death.
I HAVE READ THIS RELEASE OF LIABILITY AND FULLY
UNDERSTAND ITS TERMS AND I UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS
BY SIGNING IT AND I SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT OR
COERCION; AND THAT I RELEASE, HOLD HARMLESS AND INDEMNIFY OZARK OUTDOORS FROM
ANY LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE OR DEATH TO MYSELF OR ANY MINOR
CHILDREN FOR WHICH I AM RESPONSIBLE.
The reservation holder must
bring this form into the office once everyone signs the form to get the “Border
Pass” that is needed to get on the bus for the float.
The reservation holder must
have each person that they paid for on the float
PRINT CLEARLY THE FOLLOWING “NAME,
SIGNATURE, ADRESS, CITY, STATE AND ZIP.
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