Broken Paddle Guiding Company
Guided Tours and Rentals Kayak-SUP
*RELEASE OF LIABILITY*

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In consideration of being allowed to participate in any way in a guided tour or rental with Broken Paddle Guiding Company, I, the undersigned acknowledge, appreciate and agree that:

1. The risk of injuries from the activities involved in these guides/activities/rentals is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce risk, the risk of serious injury does exist.

2. I knowingly and freely assume all such risks both known and unknown, and assume full responsibility for my participation.

3. I acknowledge and consent the use of video recordings and photographs of my participation in promotional activities conducted by Release.

4. I accept full responsibility for the kayak/canoe/SUP, life jackets, paddles, wetsuits, dry bags and all provided accessories and I understand I will be charged for loss or damage to said gear and equipment.

5. If participants are under 18 years of age, a parent must give permissions and sign release.

6. I understand, agree and acknowledge that some activities offered by Broken Paddle Guiding Company may be of a hazardous nature and/or include physical and/or strenuous activity. Understanding this, I state that I have no medical condition or impairment, including the use of medication that might inhibit my active participation in a Broken Paddle Guiding Company guided tour or rental.

7. I hereby release Broken Paddle Guiding Company and its employees/contractors/owners, MAP LLC, Richard Mann, Dan Philp, Michael Anderson, and Alex Keilty, from all liability, claims and demands which are related to my participation.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT AN INDUCEMENT.

Date *
Date
Participant Name *
Participant Name
Phone *
Phone
Address *
Address
Emergency Contact *
Emergency Contact
Emergency Contact Phone *
Emergency Contact Phone
Date *
Date
Parent of Minor (Type Minor's Name)
Parent of Minor (Type Minor's Name)
I am the parent or legal guardian of the minor and I am signing this release on behalf of the minor.