Mountain River Adventures Activity Waiver Participant Name(Required) First Last Address(Required) Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone(Required)Email(Required) Activity Name(Required) Activity Date(Required) MM slash DD slash YYYY Location of Activity(Required) Consent(Required) I agree to the terms and conditionsWAIVER AND RELEASE OF LIABILITY In consideration of being allowed to participate in the Activity, I hereby acknowledge and agree: 1. Assumption of Risk: I understand that the Activity involves risks, including but not limited to, injury, death, or property damage. 2. Release of Liability: I release and hold harmless Mountain River Adventures, its officers, directors, employees, agents, and affiliates from any and all liability for any claims, demands, or causes of action arising from any damage, loss, or injury to myself or my property. 3. Medical Conditions: I certify that I am physically fit and able to participate in the Activity. I will inform Mountain River Adventures of any medical conditions that may affect my participation. ACKNOWLEDGMENT I have read and understood the terms and conditions of this waiver and release of liability. I acknowledge that I am signing this document voluntarily and with full understanding of its contents.Parent/Guardian NameIf the participant is under 18 years old, a parent or guardian must fill out the information and consent below. First Last Minor's Name First Last Date MM slash DD slash YYYY Parent/Guardian Consent (If Applicable) I agree to the terms and conditionsWAIVER AND RELEASE OF LIABILITY In consideration of being allowed to participate in the Activity, I hereby acknowledge and agree: 1. Assumption of Risk: I understand that the Activity involves risks, including but not limited to, injury, death, or property damage. 2. Release of Liability: I release and hold harmless Mountain River Adventures, its officers, directors, employees, agents, and affiliates from any and all liability for any claims, demands, or causes of action arising from any damage, loss, or injury to myself or my property. 3. Medical Conditions: I certify that I am physically fit and able to participate in the Activity. I will inform Mountain River Adventures of any medical conditions that may affect my participation. ACKNOWLEDGMENT I have read and understood the terms and conditions of this waiver and release of liability. I acknowledge that I am signing this document voluntarily and with full understanding of its contents.PhoneThis field is for validation purposes and should be left unchanged.
