PARTICIPANT RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT: In consideration of being allowed to participate in any way in the program, related events and activities, I the undersigned, acknowledge, appreciate, and agree that: 1. The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death. 2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation. 3. I willingly agree to comply with terms and conditions for participation. If I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately. *
The remaining questions ONLY NEED TO BE ANSWERED ONCE per season. If you have already done so, and your health is unchanged, you may skip to the end and SUBMIT FORM.
Confidential Medical Information
If there are any other conditions that may affect your participation in this course, please include those as well.
Thanks for Registering. If you are signing up for more than one course, please hit "refresh", enter your next course date, and submit the form again.
If you have any questions, please Contact Us.
To pay your 50% deposit, please call 207-669-2174, or send a check to Pinniped Kayak, 61 Toashuh Way, Ellsworth, ME 04605
(Deposits are refundable until 10 days before Course Start Date. After that time your deposit may only be refunded if we cancel the course.)
Waitlist: If a course that you have registered for is full, we will contact you within a day of receiving this form. We can add you to a waitlist, or discuss options for similar courses that would suit you.