Adult Waiver Form

ADULT WAIVER AND RELEASE OF LIABILITY (please read carefully )

In consideration of Antietam Creek Canoe/Greg Mallet-Prevost [Here-in ACC/ GMP] furnishing services
and/or equipment to enable me to participate in ACC/GMP activities, I agree as follows:
I fully understand and acknowledge that outdoor recreational activities have:
(a) inherent risks, dangers and hazards and such risks, dangers and hazards
exist in my use of ACC/GMP equipment and my participation in ACC/GMP activities;
(b) my participation in such activities and/or use of such equipment may result in injury
or illness including, but not limited to bodily injury, disease, strains, fractures, partial
and/or total paralysis, death or other ailments that could cause serious disability;
c) these risks and dangers may be caused by the negligence of the owners, employees,
officers or agents of ACC/GMP; the negligence of the participants, the negligence of others,
accidents, breaches of contract, the forces of nature or other causes. Risks and dangers may
arise from foreseeable or unforeseeable causes including, but not limited to, guide decision
making, including that a guide may misjudge terrain, weather, trail or river route location,
and water level, risks of falling out of or drowning while in a raft, canoe, kayak, or tube and
such other risks, hazards and dangers that are integral to recreational activities and/or use
of equipment.

I hereby assume all risks and dangers and all responsibility for any losses and/or damages, whether
caused in whole or in part by the negligence or other conduct of the owners, agents, officers, or
employees of ACC/GMP, or by any other person. I, on behalf of myself, my personal representatives
and my heirs hereby voluntarily agree to release, waive, discharge, hold harmless, defend and
indemnify ACC/GMP, owners, agents, officers and employees from any and all claims, actions or losses
for bodily injury, property damage, wrongful death, loss of services or otherwise which may arise out
of my use of ACC/GMP equipment and,or my participation in ACC/GMP activities.

I specifically understand that I am releasing, discharging and waiving any claims or actions that I may have
presently or in the future for the negligent acts or other conduct by the owners, agents, officers or
employees of ACC/GMP. The Venue of any dispute that may arise out of this agreement or otherwise
between the parties to which ACC/GMP or its agents is a party shall be either the Circuit Court, State or
District Court in Hagerstown, MD.