South Valley Anglers - Book Your Trip - Waiver
Contact us at (540) 613-0850 -- muskyguides@gmail.com
Email address *
Name *
Your answer
Address *
Your answer
Email *
Your answer
Cell Phone Number *
Your answer
Dates Booked *
Your answer
Promo Code (discount or special offer)
Your answer
I understand that a 50%, non-refundable deposit is due within 5-7 business days of submitting this form *
Required
I understand that the total balance is due before the guided days begin *
Required
I understand that I will receive detailed information regarding gear and equipment lists, guide-recommended fly patterns, travel suggestions, packing notes and suggestions, notes on the area fishery, notes on weather and seasonal conditions, and suggestions on gratuities and other useful information. This information should be read thoroughly, and any questions or concerns should be directed to the contact information provided at the top of this form. *
Required
I acknowledge that fishing has inherent risks, hazards, and dangers for anyone. These cannot be eliminated, particularly around an aquatic environment. I UNDERSTAND THAT THESE RISKS, HAZARDS, AND DANGERS INCLUDE WITHOUT LIMITATION -- Drowning while engaged in boating, fishing and wading -- Injuries received from mechanical and moving boat parts -- Injuries received from fishing equipment -- Injuries received from others, including my guide, using fishing equipment -- Injuries received from encounters with wildlife and/or insects -- Injuries received from exposure to the sun, lighting, wind, weather, and elements -- The absence of rapid medical attention/emergency response *
Required
I understand the risks, hazards, and dangers of fishing and have had the opportunity to discuss them with are presentative of South Valley Anglers. I understand that these activities may require good physical conditioning and a degree of skill and knowledge. I believe I have that good physical conditioning and the degree of skill and knowledge necessary for me to engage in these activities safely. I understand that I have responsibilities. My participation in this activity is purely voluntary. No one is forcing me to participate and I elect to participate in spite of the risks. I AM VOLUNTARILY USING THE SERVICES OF SOUTH VALLEY ANGLERS WITH FULL KNOWLEDGE OF THE INHERENT RISKS, HAZARDS, AND DANGERS INVOLVED AND HEREBY ASSUME AND ACCEPT ANY AND ALL RISKS OF INJURY, PARALYSIS, DISABILITY, OR DEATH. *
Required
Lastly, I, for myself, my heirs, successors, executors, and subrogees, hereby KNOWINGLY AND INTENTIONALLY WAIVE AND RELEASE, INDEMNIFY AND HOLD HARMLESS South Valley Anglers, its directors,officers, agents, employees, and volunteers from and against any and all claims, actions, causes of action, liabilities,suits, expenses (including reasonable attorney’s fees) which are related to, arise out of, or are in any way connected with my participation in this activity including, but not limited to, NEGLIGENCE of any kind or nature, whether foreseen or unforeseen, arising directly or indirectly out of any damage, loss, injury, paralysis, disability, or death to me or my property as a result of my engaging in these activities or the use of these services, property or equipment, whether such damage, loss, injury, paralysis, disability or death results from negligence of South Valley Anglers, its directors, officers, agents, employees, and volunteers or from some other cause. I, for myself, my heirs, my successors,executors, and subrogees, agree not to sue South Valley Anglers, its directors, officers, agents, employees,and volunteers as a result of any injury, paralysis, disability or death suffered in connection with my use and participation in the activities of today’s guided fishing trip. *
Required
I HAVE CAREFULLY READ, CLEARLY UNDERSTAND, AND AGREE TO THIS WAIVER. *
Required
Do you give permission to use photographs and video containing your "likeness" on the South Valley Anglers website and the websites of our sponsors? *
Required
Do you require any special accommodations? If "Yes," describe below.
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms