Fill and Sign the Waiver Assumption Form

Waiver, Release, Assumption of Risks and Indemnity Agreement – Participation in Water Sports BY SIGNING THIS DOCUMENT YOU WILL WAIVE CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE. PLEASE READ CAREFULLY, SEEK LEGAL ADVICE IF YOU WISH AND RETURN LATER. Agreement made on the ________________________ (date) , between ____________________________ (Name of Owner of Facility) of ______________________ ___________________________________________________ (street address, city, county, state, zip code) , referred to herein as Releasee , and _______________________________ (Name of Participant) of _______________________________________________________ ____________ (street address, city, county, state, zip code) , referred to herein as Releasor . For and in consideration of the mutual covenants contained in this Agreement, and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the parties agree as follows: I. Definition of Water Sports A. In this Agreement the term Water Sports shall include all activities in any way related to boating activities, dock and waterfront access, riding on a wakeboard or ski boat, waterskiing, using a jet ski, wakeboarding, riding inflatable boat-pulled accessories such as inner tubes and rafts and the use of equipment, facilities, jet skis, wave runners, ski boats, and or other such vehicles (hereafter together called vehicles ) rented by the Releasee to the Releasor. B. All references to “I” or its derivatives mean the Releasor who participates in Water Sports in and around (identify area) ___________________________________ or rents the vehicles. II. The Safety of Water Sports I acknowledge that I have been advised to wear a lifejacket while engaging in Water Sports. Instruction as to the proper use of the lifejacket is available from the Releasee. I am aware that the physical exertion required for Water Sport activity and the forces exerted on the body can activate or aggravate pre-existing physical injuries, conditions, symptoms or congenital defects. I have been advised to seek medical advice if I know or suspect that my physical condition may be incompatible with water sports. III. Assumption of Risks I am aware that Water Sport activity involves many risks, dangers and hazards including, but not limited to: changing water flow, currents, wave actions and ship wakes, collisions with other vehicles, man made or natural things or objects, equipment failure, heat or sun related injuries or illness, fatigue, chill or dizziness, accidents which occur during transportation or travel to and from the sea, use of the vehicles and mounting or dismounting of said vehicles, entrapment or obstruction by boats, other vehicles, people or marine life, reef, sand or rocks, hypothermia or dehydration, the overturning or upsetting of vehicles, negligence of other users and negligence on the part of the Releasee . I FREELY ACCEPT AND FULLY ASSUME ALL RISKS, DANGERS AND HAZARDS ASSOCIATED WITH WATERSPORT ACTIVITY AND ANCILLARY OR INCIDENTAL ACTIVITIES AND THE POSSIBILITY OF PERSONAL, EMOTIONAL OR CATASTROPHIC INJURY, DEATH, PROPERTY DAMAGE OR LOSS RESULTING THEREFROM WHETHER ARISING DIRECTLY OR INDIRECTLY IN CONNECTION WITH OR OUT OF MY PARTICIPATION IN OR ASSOCIATION WITH THE WATER SPORT ACTIVITY. IV. Release of Liability, Waiver of Claims, and Indemnity Agreement In consideration of Releasee agreeing to my participation in Water Sport activities in and around (identify area) _______________________________________________ and permitting my use of the equipment and/or vehicles of Releasee, and for other good and valuable consideration, the receipt and sufficiency of which is acknowledged, I hereby agree as follows: A. TO WAIVE ANY AND ALL CLAIMS that I have or may in the future have against THE RELEASEE AND TO RELEASE AND FOREVER DISCHARGE THE RELEASEE from any and all liability for any loss, damage, expense or injury including death that I may suffer, or that my next of kin may suffer, as a result of my participation in Water Sport activities, DUE TO ANY CAUSE WHATSOEVER, INCLUDING MY NEGLIGENCE or that of the Releasee , BREACH OF CONTRACT, OR BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE, INCLUDING ANY DUTY OF CARE OWED UNDER ANY ACT, ON THE PART OF THE RELEASEE , AND FURTHER INCLUDING THE FAILURE ON THE PART OF THE RELEASEE TO SAFEGUARD OR PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS OF WATER SPORT ACTIVITIES REFERRED TO ABOVE WHETHER ARISING DIRECTLY OR INDIRECTLY IN CONNECTION WITH OR OUT OF MY PARTICIPATION IN OR ASSOCIATION WITH THE WATER SPORT ACTIVITY. B. TO DEFEND AND HOLD HARMLESS AND INDEMNIFY THE RELEASEE from any and all liability for any property or personal injury (including emotional or mental injury) to any third party resulting from my participation or involvement in Water Sport activities and to Indemnify the Releasee from any claims, suits, expenses and costs INCLUDING BUT NOT LIMITED TO all expenses, costs, fees and attorneys' costs for damage and personal injury (including emotional injury) to me, or property of anybody including mine resulting from any accident, negligent act or omission whether mine or the Releasee's. V. This Agreement shall be effective and binding upon my heirs, next to kin, executors, administrators, assigns, and representatives, in the event of my death or incapacity. VI. This Agreement and any rights, duties and obligations as between the parties to this Agreement shall be governed by and interpreted solely in accordance with the laws of the state of ______________ and no other jurisdiction. VII. Any dispute under this Agreement shall be required to be resolved by binding arbitration of the parties hereto. If the parties cannot agree on an arbitrator, each party shall select one arbitrator and both arbitrators shall then select a third. The third arbitrator so selected shall arbitrate said dispute. The arbitration shall be governed by the rules of the American Arbitration Association then in force and effect. VIII. This Agreement shall constitute the entire agreement between the parties and any prior understanding or representation of any kind preceding the date of this Agreement shall not be binding upon either party except to the extent incorporated in this Agreement. IX. Any modification of this Agreement or additional obligation assumed by either party in connection with this Agreement shall be binding only if placed in writing and signed by each party or an authorized representative of each party. X. The rights of each party under this Agreement are personal to that party and may not be assigned or transferred to any other person, firm, corporation, or other entity without the prior, express, and written consent of the other party. XI. I agree to pay for any damage caused to any vehicle , equipment, or facility of the Releasee. XII. In entering into this Agreement I am not relying on any oral or written representations statements made by the Releasee with respect to the safety of Water Sport activities but rather upon my own judgment and ability, other than what is set forth in this Agreement. XIII. I CONFIRM THAT I AM OVER 18, (or that I am the legal guardian of the minor and act on his/her behalf) HAVE READ AND UNDERSTOOD THIS AGREEMENT PRIOR TO VOLUNTARILY SIGNING IT WITH NO PROMISE, GUARANTEE OR INDUCEMENT, AND I AM AWARE THAT BY SIGNING THIS AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS (INCLUDING FUTURE RIGHTS) WHICH I OR MY HEIRS, DEPENDANTS, NEXT OF KIN, EXECUTORS, ADMINISTRATORS, ASSIGNS AND REPRESENTATIVES MAY HAVE AGAINST THE RELEASEE. XIV. I AM AWARE THAT PARTICIPATION IN WATER SPORT ACTIVITY IS INHERENTLY HAZARDOUS AND I SO PARTICIPATE WITH SUCH KNOWLEDGE OF THE DANGERS INVOLVED. WITNESS my signature as of the day and date first above stated. ______________________________________ Printed Name and Signature of Releasor Participant Under 18 Years of Age: As parent/guardian signing this Agreement for the above named minor, I acknowledge that I am authorized to sign this Agreement for the minor. I acknowledge and agree that I have read the above Release, and that by signing this Release on behalf of the minor, the minor and I agree to be bound by its terms. I hereby agree to INDEMNIFY, DEFEND, and HOLD HARMLESS the Releasee for any claim or suit arising out of said minor's participation in the Water Sport activity. WITNESS my signature as of the day and date first above stated. ______________________________________________ Printed Name and Signature of Parent/Guardian