Please read this waiver carefully and answer all questions honestly and fully. The form includes required fields that will prevent it from being submitted without completion. 

 

To print a copy of this waiver click "Print Form" (located at the very bottom of this form)

In consideration of being allowed to participate in any way in the Wilmette Foundation for Children’s Charity sea kayaking in the Chicago metropolitan area, related events and activities, I, {participantName197}, the undersigned, acknowledge, appreciate, and willingly agree to comply with terms and conditions for participation.  If 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 nearest official immediately.  I understand that in joining this Northwest Passage Outing Club, Inc., (hereafter “NWP”)  Outing, I will be faced with certain inherent risks and exposures to danger in geographic areas which may be remote from facilities where medical treatment can be obtained.  I the undersigned, acknowledge, appreciate and agree that the risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death.  Such hazards may include, but are not limited to, falling, falling objects, drowning, waterway obstructions, elevation changes, waterfalls, rapids, fast currents, rocks, temperature exposure (hypothermia, sunstroke, sunburn, heat exhaustion), equipment failure, improper use of equipment, inadequate or improper instruction or assistance, failure to wear protective clothing including life jackets, weather conditions including electrical storms, poor water quality, exposure to wild animals, insects, collapse of natural or man-made structures, potable water contamination, upset, inadequate or improper swimming skills (including lifesaving),  and experience of participants and trip leaders.  I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of the release’s or others, and assume full responsibility for my participation.  I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release, indemnify, and hold harmless Wilmette Foundation for Children’s Charities, Inc., its officers, officials, agents and/or employees, other participants, sponsors, advertisers and NWP, its officers, officials, agents and/or employees, other participants, sponsors, advertisers, and, if applicable, owners and lessors of premises used to conduct the event, (collectively “Releasees”), from any and all claims, demands, losses, and liability arising out of or related to any injury, disability or death I may suffer, or loss or damage to person or property, whether arising from the negligence of the release’s or otherwise, to the fullest extent permitted by law.  Should I be injured on this Outing I understand that various expenses may be incurred in rendering rescue operations and medical care, and I agree that I will be responsible for any such costs of evacuation procedures, rescue operations and emergency or non-emergency medical services which may be occasioned by my participation in the Outing. 

In making application to participate in the Outing, I affirm that I am in good health, capable of performing the required exercise to participate, and that I accept, at my personal risk,  the hazards of such participation in the Outing and will not hold Releasees, including NWP, its members,  other participants or its representatives responsible.  In consideration of NWP accepting my application, I hereby release and forever discharge Releasees, NWP, its officers, directors, servants, employees and agents and the other participants,  land owners, municipal or governmental providers of use permits and their respective employees, officers and directors agents  from any liability whatsoever arising  as a result of my participation in the Outing.  This release is binding upon me, my heirs, executors, administrators, and assigns.

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 any inducement.

    

FOR PARENTS/GUARDIANS OF PARTICIPANT OF MINOR AGE (UNDER AGE 18 AT TIME OF REGISTRATION)

This is to clarify that I, as a parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releases, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Release’s from any and all liability incidents to my minor child’s involvement or participation in these programs as provided above, even if arising from negligence of the Release’s, to the fullest extent permitted by law.