Wild and Woolly
P.O. Box 92
Teslin, Yukon Canada YOA 1BO
Insurance coverage is the responsibility of each individual participant.
Definition of Terms
Wilderness canoe trips and classes on wilderness survival techniques, include : river and lake canoeing; swimming; hiking; fishing; the use of tools such as axes, knives and saws; mountain hiking, rock climbing and scrambling; nature observation and proximity to wild animals; crossing streams; carrying gear and equipment such as canoes; performing camp chores such as fire-lighting and other associated activities.
In consideration of Wild and Woolly's accepting my application, I agree to this Release of Claims and Waiver of Liability. I understand that wilderness canoe trips and wilderness survival classes involve certain dangers not all of which can be listed here. Among the more obvious and frequent are:
I am not relying on any oral or written statements by Wild and Woolly to lead me to participate in this trip on any basis other than by my own assumption of the risks involved.
I accept all of the risks including the possibility of personal injury, death, property damage and property loss which might result from my trip with Wild and Woolly.
I release Wild and Woolly, its owner and operator, its guides, employees, agents and representatives from any and all liability for any personal injury, death, or property damage or loss I might experience as a result of my participation in their trip for any cause whatsoever, including negligence, by Wild and Woolly, its owner and operator, guides, employees, agents and representatives.
I certify that I am physically capable and fit to participate in this activity and that I have no medical needs or conditions other than those listed in the Medical Information Form provided the Wild and Woolly.
I confirm that I am eighteen years of age or older. (Younger participants must have a parent or guardian read and sign this document.)
I confirm that I read this agreement before signing, that I understand it and that it will be binding on me, my heirs, my next of kin and on my executors, administrators and assigns.
I agree that the laws of the Yukon Territory govern this contract and that any legal concern will be handled in the fair and competent courts of Whitehorse, Yukon Territory, Canada.
Signed the ________ day of _____________________ in 19_____
in the town/city of ______________________________
in the State/Province of _________________________
in the Country of ________________________________
Participant's Signature: ___________________________________
Participant's Name (print): ________________________________
Witness' Signature: ________________________________________
Witness; Name (print): _____________________________________
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