(This form to be used for minors under the age of 18
years old only)
I hereby grant permission for my child_______________________to participate in
kayaking/canoeing at Zilker Park Boat Rentals on (date)_______________________,
and hereby agree as follows:
I fully
understand and acknowledge that: (a) risks and dangers exist in my child’s use
of a canoe or kayak and my child’s participation in canoeing or kayaking
activities; (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 lake or river route, water level, weather conditions,
equipment failure, risk of falling out
of a canoe or kayak or other such risk, hazards and dangers that are integral
to recreational activities that take place in an outdoor recreational
environment: and (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 Zilker Park Boat
Rentals activities or use of Zilker Park Boat Rentals equipment shall be venued
in the a court in Austin, county of Travis, state of Texas
My child is in good health and of sufficient age for
any and all activities offered by Zilker Park Boat Rentals. I understand that strenuous physical
exertion may be required and my child has no physical disabilities or health
problems which will present any risk to his/her participation in the
activities. I release and agree to
indemnify and hold harmless the Releases 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. 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
finding 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 ZILKER
PARK BOAT RENTAL’S CANOEING/KAYAKING ACTIVITES AND TO ASSUME AND ACCEPT ALL
RISK ASSOCIATED THEREWITH.
Group Name (if
applicable)______________________________________________________
Parents Name
(Print)___________________________Signature________________________
Street and Apt. Address:_______________________________________________________
City:_____________________________________
State:_______Zip:____________________
Child’s
Name:_____________________________________Age:_____Outing date:___________
Child’s
Signature____________________________________________________________