Signup

Lake Lure Active Waiver

This activity wavier form (this “waiver”) dated this______day of__________,_____.

In consideration of being allowed to participate in this activity and other good and valuable consideration, the receipt of which is hereby acknowledged, I________{name}_________________(the participant) agree Lake Lure Active/Lake Lure Rowing, LLC of PO Box 176 Bat Cave, NC 28710 (the activity provider) to the following:

Details of Activity

1.     The Participant will be participating in the following activity: Outdoor activities including but not limited to: rowing, paddling, kayaking and/or gym use, ERG classes, yoga/pilates (the “Activity” provided by the Activity Provider.

Consideration

2.     Being of lawful age and in consideration of being permitted to participate in the Activity, the Participant releases and forever discharges the Activity Provider, its owners, directors, officers, employees, agents, assigns, legal representatives and successors from all manner of actions, cause of action, debts, accounts, bonds, contracts, claims and demands for or by reason of any injury to person or property, including injury resulting in the death of the Participant, which has been or may be sustained as a consequence of  the  Participant’s participation in the Activity, and not withstanding that such damage, loss, or injury may have been caused solely or partly by the negligence of the Activity Provider.

3.     The Participant understand that the Participant would not be permitted to participate in the Activity unless the Participant signed this waiver.

Concurrent Release

4.     The Participant acknowledges that this Waiver is given with the express intention of effecting the extinguishment of certain obligations owed to the Activity Provider and with the intention of binding the Participant’s spouse, heirs or executors.

Fitness to Participate

5.     The Participant acknowledges to the Activity Provider that the Participant does not have any physical limitations, medical ailments, or physical or mental disabilities that would limit or prevent the Participant from participating in the Activity.  If required, the Participant will obtain a medical examination and clearance.

Full and Final Settlement

6.     The Participant acknowledges and agrees with the Activity Provider that: (1) the Activity Provider has given the Participant sufficient time to carefully read this Waiver, (2) the Participant has been given the opportunity and has been encouraged to seek independent legal advice prior to signing this Waiver, (3) the Participant fully understand the risks and claims that the Participant is waiving to participate in the Activity, (4) the Participant if freely and voluntarily executing this Waiver, and (5) the Participant is forever prevented from suing or otherwise claiming against the Activity Provider for any property loss or personal injury that the Participant may sustain while participating in or preparing for the Activity.

Governing Law

7.     This Waiver will be governed by and construed in accordance with the laws of the State of North Carolina.

Emergency Contact

8.     Name________{contact_name}___________

Phone_______{contact_phone}___________

____{name}___________________

             ___________________(Participant)