JLA Waiver of Liability

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Thank you for spending time with the Jackson Lake Association, Inc (“JLA”). We are certain you realize that activities on the lake, or activities on any body of water, are inherently dangerous. The purpose of this warning is not to alarm you, but to stress the importance of safety while on the water or in the presence of boating activities.

Because of the inherent and potential dangers, it has become necessary to adopt a policy of requiring each person who participates in activities of the JLA to agree with us in advance that he or she will assume the risk of personal injury and agree that he or she will release and waive any claim he or she may have against JLA, its members, directors, officers, contractors, agents, guests and other volunteers (herein after collectively referred to as the “Released Parties”), for damages arising out of any such injury to person or damage to property.

ACCORDINGLY, THE UNDERSIGNED, ON HIS OR HER BEHALF AND ON BEHALF OF HIS OR HER HEIRS, LEGAL REPRESENTATIVES AND ASSIGNS, HEREBY AGREES TO RELEASE, FOREVER DISCHARGE AND HOLD HARMLESS THE RELEASED PARTIES FROM ANY AND ALL LIABILITY, CLAIMS, DEMANDS, OR CAUSES OF ACTION THAT THE UNDERSIGNED MAY HAVE FOR ANY AND ALL INJURIES TO HIS OR HER PERSON OR PROPERTY AND FOR DAMAGES OR LOSSES, INCLUDING BUT NOT LIMITED TO, LOSSES CAUSED BY THE NEGLIGENCE OF THE RELEASED PARTIES OR OTHER ACTS OR OMISSIONS, WHILE PARTICIPATING IN SAID ACTIVITIES OR CONNECTED WITH JLA. THE UNDERSIGNED ALSO UNDERSTANDS THAT JLA DOES NOT ASSUME ANY RESPONSIBILITY FOR OR OBLIGATION TO PROVIDE FINANCIAL OR OTHER ASSISTANCE, INCLUDING BUT NOT LIMITED TO, MEDICAL, HEALTH OR DISABILITY INSURANCE, IN THE EVENT OF INJURY OR ILLNESS.

The undersigned further assumes the risk of injury or harm in connection with such activities, acknowledges JLA does not maintain health, medical or disability insurance for any participants, members or volunteers.

We value you and appreciate your time.

Email *

Participant Information

Please be sure to fill in a form for each member of your party. Your form is not submitted until you have clicked the submit button at the end and receive the message " Thank You for submitting your Waiver. You will receive a copy in your email. "

First Name *

If you go by a Nickname, please enter your legal first name and in parenthesis your preferred nickname.

Last Name *

Is Participant Under The Age of 18? *

NO, I'm an adult aged 18 or older.

YES, participant is a minor.

Do You, the participant, know how to swim? *

Yes, I understand a lifejacket is required when riding on any watercraft.

No, I understand I must wear a lifejacket at all times.

Other:

List any significant medical conditions that we need to be aware of. If none, simply state none. *

Emergency Contact Information

Please list an emergency contact who can be reached during the time of the event if needed.

Name of Emergency Contact *

Phone Number of Emergency Contact *

Address of Emergency Contact *

Signature of Participant:

By signing here, I confirm that I have read this Waiver of Liability and agree to be bound by this agreement.

Type YOUR FULL NAME to Sign the Waiver of Liability *

If Participant is under the age of 18, parent signature required. Type the name of person signing for the child.

A copy of your responses will be emailed to the address you provided.

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