• Format: (000) 000-0000.
  • Please read and review the following Liability Waiver, and sign below to confirm your understanding of it.

    Riverside Resort’s Riverside 21 Kayak Poker Run Liability Waiver & Release

    I, the undersigned participant, acknowledge that kayaking and participation in a Kayak Poker Run involve inherent risks, including but not limited to changing water conditions, weather, collisions, capsizing, equipment failure, dehydration, and actions of other participants or volunteers. I understand these risks may result in injury, illness, property damage, or death.

    I certify that I am physically capable of participating and have not been advised otherwise by a medical professional. I affirm that I am not under the influence of alcohol or drugs and am competent to participate.

    In consideration of being allowed to participate, I voluntarily assume all risks associated with this event, including transportation on the provided shuttle. Pursuant to Idaho Code § 6-901 et seq., I hereby release, waive, and discharge the event organizers; The Riverside Resort & RV Park; The Boathouse in Burley, LLC; Portside Pizza and Pub; event sponsors; volunteers; staff; safety boat operators; property owners; land managers; municipal agencies; host venues; and any of their officers, directors, employees, representatives, and agents from any and all liability, claims, demands, or causes of action arising out of or connected with my participation, including those arising from negligence.

    I agree to indemnify and hold harmless all released parties from any loss, liability, damage, or costs that may occur due to my participation or presence at the event. I accept full responsibility for my equipment, personal property, and safety.

    I grant permission for the use of my name, image, and likeness in event-related media. I understand that all entry fees are non-refundable.

    By signing below, I acknowledge that I have read, understand, and voluntarily agree to this waiver. I understand that this document is intended to be as broad and inclusive as permitted under Idaho law, and if any portion is held invalid, the remainder shall continue in full force and effect.

  • Date*
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  • My Products*

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    R21 Contestant Registration. One River. 21 Miles. Endless bragging rights.
    R21 Contestant Registration

    One River. 21 Miles. Endless bragging rights.

    $50.00$50.00
      
    Riverside 21 T-Shirt. Do the Experience. Keep the Memories.
    Riverside 21 T-Shirt

    Do the Experience. Keep the Memories.

    $30.00$30.00
    Color Quantity Size
    Black
    Dark Grey
    Blue
      
    Total
    $0.00$0.00

    Credit Card

  • Riverside 21 Kayak Endurance Registration

    Complete the liability waiver and submit the $50 fee; you’ll receive a confirmation email with your assigned contestant number. Make sure to have your contestant number on Race Day.
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