PARENT/GUARDIAN PERMISSION FORM
(This form to be used for minors only)
I hereby grant permission for my child, __________________________________,to participate in
kayaking, canoeing biking, camping, and hiking, snowshoeing or cross country
skiing, with Marquette Recreational Tours. And I hereby agree as follows:
I fully understand and acknowledge that:
(a) risks and dangers exist in my child’s use of kayaking, canoeing, biking, hiking, snowshoeing or cross country skiing equipment and
my child’s participation in of kayaking, canoeing, biking, hiking, snowshoeing or cross country skiing.
(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 route, water level, weather conditions, risks of falling out of, from, or during a raft, kayak, canoe, tube, bike, hiking or cross country skiing and such other risks, hazards and dangers that are integral to recreational activities that take place in a wilderness, outdoor or recreational environment.
(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 his/her scheduled activities. Any claims or dispute arising from my child’s participation in Marquette Recreational Tours’ activities or use of Marquette Recreational Tours’ equipment shall be venued in the Circuit Court, State or District Court in Marquette, MI.
My child is in good health and is at or above the minimum age of 12 years when without parent/legal guardian he/she will participate in activities. 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 the activities. Information on my child’s physical handicaps or medical problems which I feel Marquette Recreational Tours should know about will be given in writing in advance of the scheduled trip. I release and agree to indemnify and hold harmless the from any and all liabilities incident to my minor child’s
involvement or participation in these programs as provided above, even if arising from the negligence of the releasees, to the fullest extent permitted by law. Furthermore, 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 RIVER & TRAIL OUTFITTER’S AND/OR EAGLE AQUATICS' RAFTING, KAYAKING, CANOEING, BIKING, HIKING, SNOWSHOEING, OR CROSS COUNTRY SKIING ACTIVITIES, AND TO ASSUME AND ACCEPT ALL RISKS ASSOCIATED THEREWITH.
Group Name (if applicable) ________________________________________________
Parents' Name (Print) _________________________________Signature_______________________________
Street and Apt. Address: ___________________________________________________
City: _________________________ State: _________ Zip Code: __________________
Child’s Name: ____________________________ Age: ______ Trip Date: ___________
Child’s Signature: _________________________________________________________
Emergency Contact (name)________________________________ (Phone)________________________
(This form to be used for minors only)
I hereby grant permission for my child, __________________________________,to participate in
kayaking, canoeing biking, camping, and hiking, snowshoeing or cross country
skiing, with Marquette Recreational Tours. And I hereby agree as follows:
I fully understand and acknowledge that:
(a) risks and dangers exist in my child’s use of kayaking, canoeing, biking, hiking, snowshoeing or cross country skiing equipment and
my child’s participation in of kayaking, canoeing, biking, hiking, snowshoeing or cross country skiing.
(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 route, water level, weather conditions, risks of falling out of, from, or during a raft, kayak, canoe, tube, bike, hiking or cross country skiing and such other risks, hazards and dangers that are integral to recreational activities that take place in a wilderness, outdoor or recreational environment.
(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 his/her scheduled activities. Any claims or dispute arising from my child’s participation in Marquette Recreational Tours’ activities or use of Marquette Recreational Tours’ equipment shall be venued in the Circuit Court, State or District Court in Marquette, MI.
My child is in good health and is at or above the minimum age of 12 years when without parent/legal guardian he/she will participate in activities. 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 the activities. Information on my child’s physical handicaps or medical problems which I feel Marquette Recreational Tours should know about will be given in writing in advance of the scheduled trip. I release and agree to indemnify and hold harmless the from any and all liabilities incident to my minor child’s
involvement or participation in these programs as provided above, even if arising from the negligence of the releasees, to the fullest extent permitted by law. Furthermore, 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 RIVER & TRAIL OUTFITTER’S AND/OR EAGLE AQUATICS' RAFTING, KAYAKING, CANOEING, BIKING, HIKING, SNOWSHOEING, OR CROSS COUNTRY SKIING ACTIVITIES, AND TO ASSUME AND ACCEPT ALL RISKS ASSOCIATED THEREWITH.
Group Name (if applicable) ________________________________________________
Parents' Name (Print) _________________________________Signature_______________________________
Street and Apt. Address: ___________________________________________________
City: _________________________ State: _________ Zip Code: __________________
Child’s Name: ____________________________ Age: ______ Trip Date: ___________
Child’s Signature: _________________________________________________________
Emergency Contact (name)________________________________ (Phone)________________________
|
| ||
