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THE UNDERSIGNED CERTIFIES THAT HE/SHE READ THE
FOLLOWING CAREFULLY BEFORE SIGNING
I am aware that certain dangers are inherent in rafting, canoeing and kayaking excursions. By my joining
the Oregon River Sports on any rafting, canoeing or kayaking excursions, I certify that I am aware of all
dangers, including mortal and/or severe injury, and have familiarized myself with all precautions that can
be taken to prevent injury to myself, and any minors that may accompany me. ______
I understand that it is not the function of Oregon River Sports, Inc., or its officers, directors, employees,
shareholders, agents and their assistants, to serve as guardians of my safety. I warrant that I am in good
physical condition and know of no medical or health reasons why I should not participate in water sports
activities. I have made Oregon River Sports, Inc., staff aware of any dietary or medical needs.
I understand and agree that Oregon River Sports, Inc., its officers, directors, employees, shareholders,
agents, and their assistant shall not be held liable in any way to me, my family, heirs, executors or
assigns for any occurrence or accident which may result in injury, death, or other damages in connection
with an Oregon River Sports rafting, canoeing or kayaking excursion. ______
In consideration of joining the Oregon River Sports on a rafting, canoeing or kayaking excursion at
a shared cost which does not reflect any premium for insurance, I hereby personally assume all risks in
connection with participating in an Oregon River Sports excursion/adventure trip, including but not limited
to those associated with forces of nature, physical injury, or illness and accidents resulting from falls,
and I further agree to forever release, discharge, waive, save and hold harmless Oregon River Sports, Inc.,
its officers, directors, equipment. This includes, but not limited to, any and all rights, demands, or
claims for damages and causes for suits or actions known or unknown, and further includes, but is not
limited to any and all medical expenses or other expenses and damages in the event of a accident, illness,
other incapacity, death, or damage property, however caused. Notwithstanding the foregoing, it is understood
and agreed that this release is not intended to release Oregon River Sports, Inc. from liability for
claims for loss or damage based on gross negligence or reckless indifference of Releasee. _______
I further state that I am of lawful age and legally competent to sign this Affirmation, Waiver, Warrant, Release
and Assumption of Risk for said minor(s) and myself. _________
I have fully informed myself of the contents of this Affirmation, Waiver, Warranty, Release and
Assumption of Risk by reading it before I signed it. ________
I give ORS the authority to use any photos of myself or others given to ORS, and may be used for the promotion
of paddle sports (on the worldwide web, brochures and newspapers). _______
I willingly sign this liablility form and
are of good health and fitness for ___________________________________ Trip with Oregon River Sports.
Print Name: _________________________________________ Date: ________________________
Signature: ______________________________________________________________________