Free Rafting Waiver Template

•Participant full name: ______________________________

•Date of birth: ____________________ Age: __________

•Address: ______________________________________________

•Phone: ____________________ Email: __________________

•Emergency contact name: ____________________________

•Emergency contact phone: ___________________________

•Date of whitewater rafting: ____________________

I am requesting to participate in whitewater rafting operated by [Business Name] ("the Company"). I understand that rafting takes place on moving water, that I may be thrown from or fall out of the raft, and that I may need to swim in current.

I confirm that my participation is entirely voluntary, that no one has pressured me to take part, and that I may stop participating at any time if I believe conditions are unsafe or beyond my ability.

I understand that whitewater rafting involves inherent risks that cannot be eliminated regardless of the care taken by the Company, and that those risks include, but are not limited to:

•Falling out of or being ejected from the raft into moving water

•Cold water shock, hypothermia, and involuntary gasping on immersion

•Foot entrapment, strainers, undercut rocks, and recirculating hydraulics

•Impact with rocks, the raft, paddles, and other participants

•The raft capsizing, wrapping, or becoming pinned

•Substantial delay in rescue and evacuation on remote sections of river

•Changing river levels, flow rates, and weather during the trip

•Serious bodily injury, permanent disability, paralysis, and death

I have read this list, I understand it, and I knowingly and voluntarily accept every one of these risks, including risks that may arise from the negligence of others or that are not specifically listed above.

I confirm that I have accurately represented my swimming ability and the swimming ability of any minor in my care.

I agree to wear a properly fitted, Coast Guard-approved personal flotation device whenever the Company requires it, and I understand that a flotation device does not guarantee safety in the water.

I agree to follow all posted rules, safety briefings, and instructions given by [Business Name] staff, including:

•Personal flotation device and helmet worn and fastened at all times on the water

•Following the guide's paddle commands and safety position immediately

•Adopting the defensive swimming position if you enter the water

•Accurately disclosing swimming ability and any medical condition before launch

•No participation while impaired by alcohol or drugs

I understand that failing to follow the rules may result in my removal from the activity without a refund.

I agree to inspect any equipment provided to me before use and to immediately report anything that appears damaged, worn, or unsafe. If I choose to use the equipment, I am confirming that I accept it in its current condition.

I accept responsibility for the reasonable cost of repair or replacement of equipment that is lost, stolen, or damaged beyond normal wear while it is in my care.

I confirm that I am not under the influence of alcohol, cannabis, illegal drugs, or any medication that impairs judgment, coordination, or reaction time, and I will not become so during the activity.

I understand the Company may refuse or end my participation, without refund, if staff believe I am impaired.

I confirm that I am physically able to take part in this activity and that I have disclosed any medical condition, injury, allergy, pregnancy, or medication that could affect my safety or the safety of others.

Conditions to disclose: ______________________________________________

In the event of an injury or medical emergency, I authorize the Company to arrange first aid, emergency transport, and medical treatment on my behalf, and I accept financial responsibility for the cost of that care.

I understand that weather, water levels, wind, visibility, and other natural conditions can change quickly and may make the activity more difficult or hazardous.

I agree that the Company may delay, shorten, reroute, or cancel the activity for safety reasons, and I accept the Company's published cancellation and refund policy for those situations.

To the fullest extent permitted by the laws of [State], I release, waive, and discharge [Business Name], its owners, officers, employees, contractors, volunteers, agents, and property owners (together, "the Released Parties") from any and all claims, demands, damages, costs, and causes of action of any kind arising out of my participation in this activity, including those caused by the ordinary negligence of the Released Parties.

I agree to indemnify and hold the Released Parties harmless from any claim brought by me, by anyone acting on my behalf, or by a third party as a result of my conduct during the activity.

This release is binding on me, my heirs, my personal representatives, and my estate.

I confirm that I am the parent or legal guardian of the minor named below and that I have full legal authority to sign this agreement on the minor's behalf.

•Minor name: ____________________________ Date of birth: ______________

•Minor name: ____________________________ Date of birth: ______________

•Minor name: ____________________________ Date of birth: ______________

I have explained the risks described above to the minor in terms the minor can understand. I accept every term of this agreement on the minor's behalf, I authorize emergency medical care for the minor, and I agree to indemnify the Released Parties against any claim brought by or on behalf of the minor.

I have read this entire agreement. I understand that I am giving up substantial legal rights, including the right to sue. I am signing it freely, without inducement, and I intend it to be as broad and inclusive as the law allows. If any part of this agreement is found unenforceable, the remaining parts stay in full force.

•Participant signature: ______________________________ Date: ____________

•Printed name: ______________________________________

•Parent/guardian signature (if participant is under 18): ______________________________ Date: ____________

•Printed name of parent/guardian: ______________________________