CHESAPEAKE ECOTOURS LLC LIABILITY WAIVER AND RELEASE OF CLAIM

CHESAPEAKE ECOTOURS LLC - LIABILITY WAIVER AND RELEASE OF CLAIMS

If you are booking for multiple people, please submit this form once for each participant.
Chesapeake Ecotours LLC places the highest priority on your safety. However, kayaking involves inherent risks that cannot be eliminated, including but not limited to: drowning, hypothermia, collisions, capsizing, contact with wildlife, sun exposure, wind, changing weather conditions, and equipment failure. By signing below, I, the undersigned participant (or parent/guardian if under 18), acknowledge and agree to the following:
Participant Information
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact
Phone Number (Emergency Contact)
Please enter a valid phone number.Format: (000) 000-0000.
Activity Details
Activity Date

MonthDayYear
Date
Activity
Location
Guide Name
Acknowledgement of Risks, Assumption of Risk, Release of Liability and Waiver of Claims
ACKNOWLEDGMENT OF RISKS

I understand that kayaking involves both known and unanticipated risks that could result in injury, illness, permanent disability, or death. I certify that I am physically fit for this activity and will follow all safety instructions, including wearing a U.S. Coast Guard approved personal flotation device (PFD) at all times while on the water.

ASSUMPTION OF RISK

I knowingly and voluntarily assume full responsibility for any and all risks of injury, death, or loss, including those arising from the negligence (excluding gross negligence or willful misconduct) of Chesapeake Ecotours LLC, its owners, guides, employees, and volunteers.

RELEASE OF LIABILITY AND WAIVER OF CLAIMS

To the fullest extent permitted by law, I hereby release, waive, and discharge Chesapeake Ecotours LLC, its owners, officers, employees, agents, representatives, and volunteers from any and all liability, claims, demands, or causes of action that may arise from participation in this activity, including claims for bodily injury, property damage, illness, or death, whether arising from negligence or otherwise.
I have read and agree to the acknowledgement of risks, assumption of risk, and release of liability and waiver of claims sections above.
Medical Treatment Authorization
I authorize Chesapeake Ecotours LLC to provide or seek emergency medical treatment if necessary and agree to be financially responsible for any resulting expenses.
Do you have any medical conditions? (self or party):
If you or a member of your party has medical conditions your guide should know about, please explain below:
Do you or any members of your party carry an EpiPen?
If Yes, where is the EpiPen located?
Media Release (Optional)
I grant Chesapeake Ecotours LLC permission to use photographs or video taken of me during the tour for promotional or marketing purposes.
Governing Law and Jurisdicition
This agreement shall be governed by the laws of the Commonwealth of Virginia. Any legal action must be brought in a court of competent jurisdiction within the Commonwealth of Virginia
Severability
If any part of this agreement is found to be invalid or unenforceable, the remaining provisions shall remain in full force and effect.
Acknowledgement and Signature
I have carefully read this agreement. I understand that I am giving up legal rights, including the right to sue. I sign this voluntarily and without reliance on any representations other than those contained herein.
Participant Signature
Date

MonthDayYear
Date
Parent/Guardian Signature (if participant is under 18)
Name of Guardian
Date

MonthDayYear
Date
Should be Empty:

CHESAPEAKE ECOTOURS LLC - LIABILITY WAIVER AND RELEASE OF CLAIMS

Participant Information

Activity Details

Acknowledgement of Risks, Assumption of Risk, Release of Liability and Waiver of Claims

Medical Treatment Authorization

Media Release (Optional)

Governing Law and Jurisdicition

Severability

Acknowledgement and Signature