KAYAK & EQUIPMENT HIRE AGREEMENT WAIVER AND RELEASE OF LIABILITY FORM W.C &A.J GEISLER

Please READ & COMPLETE THE FORM below:

• You assume all responsibility for your own safety while on the water
• You are responsible for any loss or damage to equipment hired
• You are aware of your abilities while undertaking this activity
• You will monitor and supervise any children under the age of 12 years in your care
• You agree to wear the Australian standard PFD supplied while on the water
• You are not under the influence of drugs (other than prescribed by your GP)
• You are not under the influence of alcohol
• As the representative of your group, you agree to advise your group of these requirements of hire and participation There are RISKS associated with the water-based activity you are about to engage in with the use of equipment that you are about to hire from W.C & A.J GEISLER. You agree that you fully understand and acknowledge that
• (a) outdoor water based recreational activities have inherent risks, dangers and hazards
• (b)participation in such activities and/or use of such equipment may result in injury
• (c) these risks and dangers may be caused by the negligence of the owners, employees, officers or agents of W.C & A.J GEISLER, the negligence of participants, accidents, breaches of contract, the forces of nature or other causes. Risks and dangers may arise from foreseeable or unforeseeable causes including, but not limited to weather or river conditions and water level, risk of falling out of or drowning while in a Kayak and such other risks, hazards and dangers that are integral to recreational activities that take place in an outdoor water based recreational environment.W.C &A.J GEISLER only hires Kayaks and equipment on the understanding that each client acknowledges the risks involved and agrees to indemnify and reimburse ‘W.C & A.J GEISLER or its proprietors, servants or agents against any incident or omission that may adversely affect them or a third party or property during the hire. ·By my participation in these activities and/or use of equipment, I hereby assume all risks and dangers and all responsibility for any losses and/or damages,whether caused in whole or in part by the negligence or other conduct of the owners, agents, officers, or employees of W.C & A.J GEISLER, or by person, including myself. ·I confirm that I am in good health, not under the influence of any drugs (other than prescribed medication) or alcohol of any kind and am capable of pursuing the sport of kayaking and that my participation in this activity is voluntary, ·I/We also agree to wear a properly secured approved personal floatation device (PDF),as provided, at all times · A.J & W.C GEISLER does not allow its Kayaks on the open water · I accept full responsibility for all adults and children accompanying me during the Kayaking activity · I,on behalf of myself, my personal representatives hereby voluntarily agree to release, discharge and indemnify W.C & A.J GEISLER and its owners, agents,officers and employees from any and all claims, actions or losses for bodily injury, property damage, wrongful death, loss of services or otherwise which may arise out of my use of kayaking equipment or premises or my participation in kayaking. I specifically understand that I am releasing, discharging and waiving any claims or actions that I may have at the present time or in the future for the negligent acts or other conduct by the owners, agents, officers or employees of W.C & A.J GEISLER.