JAMES & ELAINE MOORE
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CAMPERS
INITIAL
_______1. I AM NOT TAKING AND HAVE NOT TAKEN ANY MEDICATIONS OR OTHER DRUGS, WHICH WOULD CONTRAINDICATE CAMPING
_______2. I UNDERSTAND THAT CAMPING HAS INHERENT RISKS AND DANGERS ASSOCIATED THEREWITH. INCLUDING BUT NOT LIMITED TO RISKS ASSOCIATED WITH EQUIPMENT FAILURE, AND ACTS OF FELLOW CAMPERS AND I SPECIFICALLY ASSUME SUCH RISKS.
_______3. I ACKNOWLEDGE THAT I AM PHYSICALLY FIT TO CAMP AND I WILL NOT HOLD Howell Key CAMPING RESPONSIBLE IF I AM INJURED AS A RESULT OF HEART PROBLEMS, LUNG PROBLEMS, OR OTHER ILLNESSES OR MEDICAL PROBLEMS WHICH OCCUR WHILE CAMPING, HIKING OR SWIMMING.
_______4. I FULLY UNDERSTAND AND AM AWARE THAT THE ISLAND HAS NO MEDICAL FACILITIES AND THAT IN THE EVENT OF ILLNESS OR INJURY APPROPRIATE MEDICAL CARE MUST BE SUMMONED BY RADIO OR CELL PHONE AND THE TREATMENT WILL BE DELAYED UNTIL I CAN BE TRANSPORTED TO A PROPER MEDICAL CARE FACILITY.
_______5 Howell Key CAMPING HAS MADE NO REPRESENTATION TO ME, IMPLIED OR OTHERWISE, THAT THEIR CREW CAN OR WILL PERFORM SAFE AND COMPETENT RESCUES OR RENDER FIRST AID. IN THE EVENT I SHOW SIGNS OF DISTRESS OR CALL FOR AID I WOULD LIKE ASSISTANCE AND WILL NOT HOLD Howell Key CAMPING, ITS CREW, BOATS, OR PASSENGERS RESPONSIBLE FOR THEIR ACTIONS FOR ATTEMPTING THE PERFORMANCE OF A RESCUE OR FIRST AID.
_______6. IT IS MY INTENTION BY THIS INSTRUMENT TO EXEMPT AND RELIEVE Howell Key CAMPING AND ITS OFFICERS, AGENTS, INSTRUCTORS, SERVANTS AND EMPLOYEES, FROM ANY AND ALL LIABILITY FOR PERSONA INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH CAUSED BY NEGLIGENCE OR OTHERWISE, AND I ASSUME ALL RISKS IN CONNECTIONS WITH CAMPING.
_______7. I HAVE READ THE FOREGOING IN ITS ENTIRETY AND AGREE TO THE TERMS AND CONDITIONS HERE ABOVE SET FORTH ON BEHALF OF MYSELF, MY HEIRS, AND PERSONAL REPRESENTATIVES.
_______8. IT IS MY INTENTION BY THIS INSTRUMENT TO [[HOLD HARMLESS]] Howell Key CAMPING THEIR VESSELS, VESSELS’ CAPTAINS, INSTRUCTIONAL/SUPERVISORY STAFF, OFFICERS, EMPLOYEES, DIRECTORS, AGENTS, VOLUNTEERS, WHETHER SPECIFICALLY NAMED OR NOT (HEREINAFTER REFERRED TO AS “RELEASED PARTIES”), AND TO EXEMPT, RELIEVE AND HOLD HARMLESS THE RELEASED PARTIES FROM ANY LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH CAUSED BY NEGLIGENCE OR GROSS NEGLIGENCE. I AGREE TO ASSUME ALL RISKS IN CONNECTION WITH THE BOAT TRIP AND MY CAMPING ACTIVITIES.
THE LESSEE HEREBY ACKNOWLEDGES RECEIPT OF THE LISTED EQUIPMENT IN GOOD CONDITION AND AGREES TO RETURN SAME TO THE PLACE OF BUSINESS OF THE LESSOR: LESSEE SHALL INDEMNIFY THE LESSOR FOR ANY LOSS OR DAMAGE THEREOF, AND AUTHORIZES THE APPLICANT OF SECURITY DEPOSIT TOWARDS ANY SUCH LOSS OR DAMAGE.
THE LESSOR SHALL NOT BE RESPONSIBLE TO THE LESSEE FOR ANY LOSS, INJURY OR DAMAGE SUSTAINED BY THE LESSEE HEREUNDER AND THE LESSEE SHALL DEFEND INDEMNIFY AND HOLD HARMLESS THE LESSOR AND THE OFFICERS AND EMPLOYEES OF THE LESSOR, FROM AND AGAINST ANY DAMAGE, LOSS, THEFT OR DESTRUCTION OF ANY EQUIPMENT AND AGAINST ALL LOSSES LIABILITIES, DAMAGE, INJURIES, CLAIMS AND DEMANDS OF EVERY NATURE ARISING OUT OF AND IN CONNECTION WITH THE USE CONDITION OR OPERATION OF THE EQUIPMENT. LESSEE’S SIGNATURE DECLARES THAT THE LESSEE IS QUALIFIED TO USE SUCH EQUIPMENT.
I HAVE READ AND UNDERSTAND THIS AGREEMENT
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