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Wildwest Flyfishing Risk Agreement

Marlon Rampy DBA

Wildwest Flyfishing

PO Box 4222

Medford, Oregon 97501

ASSUMPTION OF RISK AGREEMENT

 

1.      I wish to participate as a passenger on the guided flyfishing trip operated by Wildwest Flyfishing (Marlon Rampy) and I acknowledge that my participation in the guided fishing trip is completely voluntary.

2.      I UNDERSTAND THAT THERE ARE INHERENT RISKS INVOLVED WITH BOATING/FLYFISHING TRIPS, including, but not limited to equipment failure, perils of the water, harm caused by other vessels, acts of fellow participants, entering and exiting the boat, boarder or disembarking boats, and activities at the boat ramps and shuttles.

3.      I fully assume responsibility for my own safety (including, without limitation, following all directions of the boat’s captain) while participating in the guided float trip, and verify that I am physically able to participate.

4.      I fully understand that the involved boat has limited medical facilities and that in the event of illness or injury appropriate medical care must be summoned by radio/phone and treatment will be delayed until I can be transported to a proper medical facility. I agree in advance to these conditions.

5.      No person associated with Wildwest Flyfishing has made any express or implied representation to me that they or the boat’s crew can or will perform safe rescues or render first aid. In the event that I show signs of distress or call for aid I would like assistance and will not hold any person or entity responsible for their actions in attempting the performance of rescue or first aid.

6.      Having read this waiver, I agree to RELEASE from LIABILITY and HOLD HARMLESS Marlon Rampy DBA Wildwest Flyfishing, along with its, employees, owners, members, managers, affiliates, agents, representatives, attorneys, heirs, personal representatives, successors and assigns, all individuals associated with Wildwest Flyfishing, and all individuals and entities having an interest in the boat being used for Wildwest Flyfishing, from any and all liability, claims, demands, equitable relief, damages, costs, expenses, and causes of action of any kind or character, of any type or nature whatsoever (including negligence), arising out of the guided float, launch and shuttle.

7.      I authorize Marlon Rampy to use any photographs, personal narrative, interviews, or audio or video recording of my participation in the Boat Ride for any and all purposes.

8.      I certify that I have read this document and agree with its contents.


FOR PARENTS/GUARDIANS OF PARTICIPANTS OF MINOR AGE

(UNDER AGE 18 AT TIME OF REGISTRATION)

This is to certify that I, as a parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above all Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liability incidents 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.

First Participant's Name

First Name*

Middle Name

Last Name*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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