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SCHEDULE
Canoe
Kayak&Tube
Area Info.
ACA Instruction
Contact us
About the Creek:
Creek Maps
lower
Upper
Trip Details
Livery Detail $$$
What to bring
Reality Check
Waivers
MED Forms
WW Outfit
Weather Stuff
Gauges/Levels
Reservations
Refunds &
Payment
Area Info.
Directions
Place Stay
Place eat
Thing to do
Creek GPS
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PARENT/GUARDIAN PERMISSION FORM [for those under 18]
I hereby grant permission for my child, or as guardian take full
responsibility for my Charge [herein "my child"
to participate in whitewater rafting, kayaking, canoeing, tubing, with Antietam
Creek Canoe And
I hereby agree as follows:
I fully understand and acknowledge that: (a) risks and dangers exist in my
child�s use of rafting, kayaking,
canoeing, tubing, equipment and my child�s participation in rafting, kayaking,
canoeing, tubing, activities;
(b) my child�s participation in such activities and/or use of such equipment may
result in injury or illness or
disability or
death or damage to personal property (c) these risks and dangers may be caused
by other
participants, or
by accidents, or by the forces of nature or other causes. Risks and dangers may
arise
from foreseeable or
unforeseeable causes including, but not limited to, selection of trail or river
route, water
level, weather
conditions, risks of falling out of, from, or during a raft, kayak, canoe, tube,
and such
other risks, hazards and dangers that are integral to recreational activities
that take place in a wilderness,
outdoor
or recreational environment; and (d) I hereby accept and assume these risks and
dangers.
I have been advised that my child must wear an approved personal flotation
device at all times while on the
water. I affirm that my child will not be under the influence of alcohol or
controlled substance, and will not
carry, use, or consume these substances before or during his/her scheduled
activities. Any claims or dispute
arising from my child�s participation in ACC activities or use of ACC equipment
shall be venued in the
Washington County District Court for the State of Maryland.
My child is in good health . I understand that strenuous physical exertion may
be
required and my child has no known physical disabilities or health problems,
which will present any risk to
his/her participation in the activities. Information on my child�s physical
handicaps or medical problems
which I feel ACC should know about will be given in writing in advance of the
scheduled
trip. I release and agree to indemnify and hold harmless the Releasees from any
and all liabilities incident to my
minor child�s involvement or participation in these programs as provided above,
even if arising from the negligence
of the releasees, to the fullest extent permitted by law. Furthermore, The above
agreement shall be binding on my
heirs, successors, assigns, administrators and executors.
I HAVE READ THE ABOVE AND BY SIGNING IT AGREE. IT IS MY INTENTION TO GRANT
PERMISSION
FOR MY CHILD TO PARTICIPATE IN Antietam Creek Canoe/Greg Mallet-Prevost RAFTING,
KAYAKING,
CANOEING, TUBING, ACTIVITIES, AND TO ASSUME AND ACCEPT ALL RISKS ASSOCIATED
THEREWITH.
Group Name (if applicable) ________________________________________________
Parents/Guardian Name[s] _______________________Signature[s]_______________________Date________
Name of Child /
____________________________________________________________________________
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