I, the undersigned, am aware that my participation in Great Lakes Sea Kayaking Association (GLSKA) activities is physically demanding and potentially hazardous, involving risk of injury, death or personal property loss or damage. These risks include, but are not limited to, injury or fatality due to immersion underwater, impact with submerged or exposed objects, slipping and falling, accident or injuries in remote places without medical facilities, sprains, strains, dislocations, exposure to temperature extremes or inclement weather, accidents while travelling to and from activity sites and other risks that may not be predictably known. I am also aware that weather and lake conditions are unpredictable and may pose unforeseeable hazards during GLSKA programmes and activities.

IN CONSIDERATION of being accepted as a member of, and/or being permitted to participate in the activities of the GLSKA, I, the undersigned, HEREBY RELEASE AND FOREVER DISCHARGE the GLSKA, its officers, directors, servants, agents, representatives and members from any and all claims, damages, demands, costs, expenses, actions and causes of action, whether in law or equity, in respect of death, injury loss or damage to person or property, howsoever arising as a result of my participation or my children’s participation in any GLSKA programme, function or activity and including any such death, injury or loss arising by way of the negligence, error or omission of the GLSKA, its officers, directors, servants, agents, representatives and/or members.

I, the undersigned, AGREE TO HOLD AND SAVE HARMLESS AND TO INDEMNIFY the GLSKA, its officers, directors, servants, agents, representatives and members from any and all claims, damages, demands, costs, expenses, actions and causes of action, whether in law or equity, in respect of death, injury loss or damage to person or property, howsoever arising and including any such death, injury or loss arising by way of the negligence, error or omission of the GLSKA, its officers, directors, servants, agents, representatives and/or members, which the GLSKA incurs to my children under the age of 18 as the result of my participation or my children’s participation in any GLSKA programme, function or activity.

I FURTHER AGREE TO HOLD AND SAVE HARMLESS AND TO INDEMNIFY the GLSKA, its officers, directors, servants, agents, representatives and members for any liability, howsoever incurred, by the aforementioned to any third person as a result of my participation or my children’s participation in any GLSKA programme, function or activity.

I HEREBY ACKNOWLEDGE THAT I HAVE READ this waiver and UNDERSTAND AND AGREE to the RELEASE AND INDEMNITY herein. I WARRANT THAT I am at least 18 years of age and that my equipment is mechanically fit and suitable for its intended use in such activities. I WARRANT THAT I am physically fit to participate in GLSKA programmes, functions and activities and have no medical conditions or needs other than those provided in writing to the GLSKA prior to the signing of this agreement. I DECLARE that this agreement shall be binding upon my heirs, executors, administrators and assigns. (Family applications must list all names and be signed by all members. Where an applicant is under the age of 18, a parent or guardian must sign on their behalf.)

IN WITNESS WHEREOF, I hereby affix my name.

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