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michellepowellevans.com - Water Activity Waiver
This Activity Waiver & Release ("Agreement"), between the participant named below ("Participant") and Michelle Powell Evans ("Activity Provider"),
IN CONSIDERATION OF the covenants and agreements contained in this Agreement and other good and valuable considerations, the receipt of which is hereby acknowledged, the parties to this Agreement agree to the following:
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Email *
First Name *
Last Name *
Cell Phone *
CONSIDERATION 1 *
1. Being of lawful age and in consideration of being permitted to participate in the activity described below, the Participant releases and forever discharges the Activity Provider, the Activity Provider's spouse, heirs, executors, administrators, legal representatives and assigned from all manner of actions, causes of action, debts, accounts, bonds, contracts, claims and demands for or by reason of any injury to the Participant’s person or property, including injury resulting in the death of the Participant, which may be sustained as a consequence of the Participant's participation in the activity described below, and not withstanding that such damage, loss or injury may have been caused solely or partly by the negligence of the Activity Provider.  PLEASE INITIAL:
CONSIDERATION 2 *
2. The Participant understands that the Participant cannot be permitted to participate in the activity described below unless the Participant signs this Agreement.                                                                                                                                                       PLEASE INITIAL:
DETAILS OF ACTIVITY *
3. The Participant will participate in the following activity: BOOT CAMP AND PADDLE BOARDING. Swimming may be required. Pictures will be taken and your likeness may be used for Marketing purposes.  PLEASE INITIAL:
CONCURRENT RELEASE *
4. The Participant acknowledges that this Agreement, once fully executed, also binds the Participant's spouse, heirs, executors, administrators, legal representatives and assigned to the Considerations listed above. PLEASE INITIAL:
FITNESS TO PARTICIPATE *
5. The Participant acknowledges that she/he does not have any physical limitations, medical ailments, or physical or mental disabilities that limit or prevent the Participant from participating in the above mentioned activity. If required, the Participant will obtain a medical examination and medical clearance.  PLEASE INITIAL:
FULL AND FINAL SETTLEMENT 1 *
6. The Participant does hereby acknowledge and agree that the Participant has carefully read this Agreement, that the Participant fully understands the same, and that the Participant is freely and voluntarily executing the same.  PLEASE INITIAL:
FULL AND FINAL SETTLEMENT 2 *
7. The Participant understands that by signing this Agreement, she/he agrees to refrain from suing or otherwise claiming against the Activity Provider for any property loss or personal injury that the Participant may sustain while participating in or preparing for the above noted activity.  PLEASE INITIAL:
FULL AND FINAL SETTLEMENT 3 *
8. The Participant has been given the opportunity and has been encouraged to seek independent legal advice prior to signing this Agreement. This Agreement is governed by and in accordance with the laws of the State of California. PLEASE INITIAL:
WAIVER DATE: *
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A copy of your responses will be emailed to the address you provided.
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