Waiver Form - Wekiva Island

Liability form for Canoe, Kayak & Paddleboard Rental. (1)

I HEREBY WAIVE AND RELEASE, indemnify, hold harmless and forever discharge THE WEKIVA ISLAND LLC and its agents, employees, officers, directors, affiliates, successors, and assigns, of and from any and all claims, demands, debts, contracts, expenses, causes of action, lawsuits, damages, and liabilities, of every kind and nature, whether known or unknown, in law or equity, that I ever had or may have, arising from or in any way related to my participation in any of the events or activities conducted by, on the premises of, or for the benefit of, THE WEKIVA ISLAND LLC provided that this waiver of liability does not apply to any acts of gross negligence, or intentional, willful or wanton misconduct. I understand that the activities in which I will participate are inherently dangerous and may cause serious or grievous injuries, including bodily injury, damage to personal property, and/or death. On behalf of myself, my heirs, assigns, and next of kin, I waive all claims for damages, injuries, and death sustained to me or my property that I may have against the aforementioned released party to such activity. By this Waiver, I assume any risk, and take full responsibility and waive any claims of personal injury, death, or damage to personal property associated with THE WEKIVA ISLAND LLC, including but not limited to canoeing or kayaking and/or practicing and/or engaging and competing in any races or competitions or other activities and using the premises and facilities and equipment in any manner, form or fashion. This WAIVER AND RELEASE contains the entire agreement between the parties and supersedes any prior written or oral agreements between them concerning the subject matter of this WAIVER AND RELEASE. The provisions of this WAIVER AND RELEASE may be waived, altered, amended, or repealed, in whole or in part, only upon the prior written consent of all parties. The provision of this WAIVER AND RELEASE will continue in full force and effect even after the termination of the activities conducted by, on the premises of, or for the benefit of THE WEKIVA ISLAND LLC, whether by agreement, by operation of law, or otherwise. I have read, understand, and fully agree to the terms of this WAIVER AND RELEASE. I understand and confirm that by signing this WAIVER AND RELEASE, I have given up considerable future legal rights. I have signed this Agreement freely, voluntarily, under no duress or threat of duress, without inducement, promise, or guarantee being communicated to me. My signature is proof of my intention to execute a complete and unconditional WAIVER AND RELEASE of all liability to the full extent of the law.

Please select who will be Canoeing, Kayaking or Paddleboarding ...(Required)

Who Is Signing This Agreement?

Your Name(Required)

First Middle Last

Phone(Required)

Date of Birth(Required)

Your Email(Required)

Enter and confirm your email.

Enter Email Confirm Email

This Agreement is for MINORS

Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above. By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.

This Agreement is for YOU & MINORS

Parent or Guardian Info

Your Name Parent(Required)

First Middle Last

Phone(Required)

Date of Birth(Required)

Parent or Guardian Email(Required)

Enter and confirm your email.

Enter Email Confirm Email

How Many Minors?

Select How Many Minors(Required)

Minor 1 Name(Required)

First Middle Last

Minor 1 Date of Birth(Required)

Minor 2 Name(Required)

First Middle Last

Minor 2 Date of Birth(Required)

Minor 3 Name(Required)

First Middle Last

Minor 3 Date of Birth(Required)

Minor 4 Name(Required)

First Middle Last

Minor 4 Date of Birth(Required)

Minor 5 Name(Required)

First Middle Last

Minor 5 Date of Birth(Required)

Minor 6 Name(Required)

First Middle Last

Minor 6 Date of Birth(Required)

Minor 7 Name(Required)

First Middle Last

Minor 7 Date of Birth(Required)

Minor 8 Name(Required)

First Middle Last

Minor 8 Date of Birth(Required)

Minor 9 Name(Required)

First Middle Last

Minor 9 Date of Birth(Required)

Minor 10 Name(Required)

First Middle Last

Minor 10 Date of Birth(Required)

Emergency Contact Info

Emergency Contact Name(Required)

First Last

Emergency Contact Phone(Required)

Vehicle Information

Your vehicle information! We need to know which car is yours?

Vehicle 1 Make(Required)

Vehicle Make (the make of the vehicle you are here in) This is very important this is how we know if you are back or not! *

Vehicle 1 Model(Required)

Vehicle Model (the model of the car you are here in) *

Vehicle 1 Color(Required)

Vehicle Color (the color of the car you are here in) *

Consent(Required)

By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.

Electronic Signature Consent*

Date Signed(Required)

Signature(Required)

This field is for validation purposes and should be left unchanged.

My Account

Liability form for Canoe, Kayak & Paddleboard Rental. (1)

Who Is Signing This Agreement?

This Agreement is for MINORS

This Agreement is for YOU & MINORS

Parent or Guardian Info

How Many Minors?

Emergency Contact Info

Vehicle Information