Please select who will be participating:
First Minor's Information
Second Minor's Information
Third Minor's Information
Fourth Minor's Information
Fifth Minor's Information
Sixth Minor's Information
River Rat Release of Liability
In
consideration of being allowed to participate in any way, in the
Smoky Mountain River Rat, Inc., d/b/a River Rat Program, its related
events and activities, I the undersigned, acknowledge, appreciate and
agree that:
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The
risk of injury from the activities involved in this program is
significant, including the potential for permanent paralysis and
death, and while particular skills, equipment, and personal
discipline may reduce the risk, the risk of serious injury does
exist and,
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I
KNOWLINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown,
EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and
I assume full responsibility for my participation; and
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I
willingly agree to comply with the stated and customary terms and
conditions for participation. If, however, I observe any
unusual, significant hazard during my presence or participation, I
will remove myself from participation and bring such to the
attention of the company immediately; and
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I
willingly agree to comply with the inherent risks of physical
participation in any and all rope swings, jump rocks, and other
extra activities on the river.
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I,
for myself and on behalf of my heirs, assigns, personal
representatives and next of kin, HEREBY RELEASE, INDEMNIFY AND HOLD
HARMLESS, Smoky Mountain River Rat, Inc., d/b/a River Rat Program,
their officers, officials, agents and/or employees, other
participants, sponsoring agencies, sponsors, advertisers, and if
applicable, owners and lessors of premises used for the activity
(“Releasees”), the United States and the State of Tennessee,
WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or
damage to persons or property associated with my presence or
participation, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES
OR OTHERWISE to the fullest extent permitted by law.
Finally,
I hereby irrevocably consent to and authorize, Smoky Mountain River
Rat, Inc., d/b/a River Rat Program to use and reproduce any and all
photographs and videos taken of me for any purpose whatsoever,
without further compensation to me. All such photographs and videos,
including negatives and the like are solely the property of Smoky
Mountain River Rat, Inc., d/b/a River Rat.
I
have read this Release of Liability and Assumption of Risk Agreement,
and fully understand its terms, understand that I have given up
substantial rights by signing it, and sign it freely and voluntarily
without any inducement.
Please enter your legal name as it appears on your passport/Driver's License.