PARENT/GUARDIAN PERMISSION FORM
(This form to be used for minors only)
I hereby grant permission for my child ____________________ to participate in kayaking, canoeing, camping and any other outdoor recreational activity with Raquette River Outfitters' (RRO's) equipment on (date) ______________, and I hereby agree as follows:
I fully understand and acknowledge that: (a) risks and dangers exist in my child's use of kayaking, camping or canoeing equipment and my child's participation in kayaking, camping or canoeing activities; (b) my child's participation in such activities and/or use of such equipment may result in injury or illness or death or damage to personal property (c) these risks and dangers may be caused by other participants, or by accidents, or by the forces of nature or other causes. Risks and dangers may arise from foreseeable or unforeseeable causes including, but not limited to, selection of trail or river/lake/pond route, water level, weather conditions, risks of falling out of a kayak, or canoe, and such other risks, hazards and dangers that are integral to recreational activities that take place in a wilderness, outdoor or recreational environment; and (d) I hereby accept and assume these risks and dangers.
I have been advised that my child must wear an approved personal flotation device at all times while on the water. I affirm that my child will not be under the influence of alcohol or controlled substance, and will not carry, use, or consume these substances before or during her/his scheduled activities. Any claims or dispute arising from my child's participation in outdoor recreational activities or use of Raquette River Outfitters' equipment and associated participation in outdoor recreational activities shall be venued in the Franklin County Supreme Court of the State of New York.
My child is in good health. I understand that strenuous physical exertion may be required and my child has no known physical disabilities or health problems, which will present any risk to his/her participation in outdoor recreational activities. I permit the use of any photos, slides, films, or sketches of him/her taken during the day's activities for publicity, advertising, promotion or other commercial purpose. The above agreement shall be binding on my heirs, successors, assigns, administrators and executors.
I HAVE READ THE ABOVE AND BY SIGNING IT AGREE. IT IS MY INTENTION TO GRANT PERMISSION FOR MY CHILD TO PARTICIPATE IN RAQUETTE RIVER OUTFITTERS KAYAKING, CANOEING, CAMPING, AND ANY OUTDOOR RECTREATIONAL ACTIVITY, AND TO ASSUME AND ACCEPT ALL RISKS ASSOCIATED THEREWITH. In the event any provision of this release is deemed unenforceable, all other provisions shall survive.
| Parents Signature: |
| Parents Name (Printed): | Group Name: |
| Street Address: |
| City: | State: | Zip: |
| Child's Name: |
Age: | Trip Date: |
| Child's Signature: |
DO NOT LOSE-PLEASE GIVE COMPLETED FORM TO YOUR GROUP LEADER
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