Rental Agreement - Minor
PARENT/GUARDIAN PERMISSION FORM
I fully understand and acknowledge that: (a) liabilities and dangers exist in my child’s use of MBDH, LLC dba Clyde’s River Guides & Outfitters, equipment and my child’s participation in Clyde’s River Guides & Outfitters, activities which may result in injury, illness, death or damage to personal property caused by other participants, by accidents, or by the forces of nature or other causes, (b) liabilities and dangers may arise from foreseeable or unforeseeable causes including, but not limited to, selection of trail or river route, water level, weather conditions, liability of falling out of a kayak or tube and such other liabilities, hazards and dangers that are integral to recreational activities that take place in a wilderness, outdoor or recreational environment and I hereby accept and assume these liabilities and dangers for myself and on behalf of my child participating in such activities.
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 her/his scheduled Clyde’s River Guides & Outfitters, activities. Any claims or dispute arising from my child’s participation in Clyde’s River Guides & Outfitters, activities or use of their equipment shall have venue exclusive in Mineral County, WV.
I do hereby expressly agree to release Clyde’s River Guides & Outfitters, its employees, and volunteers from all liability arising from any harm or injury, including death, sustained by my child while participating in this program.
Unless otherwise indicated by a parent in writing at the time of registration, photographs of participants may be taken while participating in the program activities for use in publications. No personal information other than the participant’s first name will be released under any circumstances.
The above agreement shall be binding on my heirs, assigns, and Personal Representatives and my child’s heirs, assigns, and Personal Representatives.
I HAVE READ THE ABOVE AND BY SIGNING IT AGREE IT IS MY INTENTION TO GRANT PERMISSION FOR MY CHILD TO PARTICIPATE IN CLYDE’S RIVER GUIDES & OUTFITTERS, INC. ACTIVITIES INCLUDING KAYAKING AND TO ASSUME ALL LIABILITIES ASSOCIATED THEREWITH ON MY BEHALF AND ON BEHALF OF MY CHILD.
I hereby grant permission for my child/children listed below to participate in Clyde’s River Guides & Outfitters:
Child’s Name:_______________________________________ Age:________
Parent’s Name (Print): _________________________________Signature:_______________________Date:___________
Emergency Contact:_____________________________ Phone #:___________________________