Please read and fill in activity disclaimer form below, this must be submitted prior to your activity.
*All personal information is kept confidential.
DISCLAIMER: I, the named person, being above age eighteen, or the parent or legal guardian of the above named person who is under age eighteen, in consideration of the services of GoSUP, hereby acknowledge, agree, promise and covenant with GoSUP, and all persons or entities, on behalf of myself, my heirs, assigns, personal representative and estate as follows.
ACKNOWLEDGEMENT OF RISK: I understand and acknowledge that the activity I am about to engage in bears certain known risks and unanticipated risks which could result in injury, death, illness or disease, physical or mental, or damage to myself, my property, or other third parties, or their property.
ACCEPTANCE OF RESPONSIBILITY: Being aware that this activity entails risks or injury to myself and a risk or injury to other third parties, or damage to property as a result of my actions, I agree, covenant and promise to accept and assume all responsibility and risk for injury, death, illness or disease, or damage to myself or my property arising from my participation in this lesson. I expressly agree, covenant, and promise to accept and assume all responsibility and risk for injury, death, illness or disease, or damage to third parties and their property arising from my participation in this activity. My participation in this activity is purely voluntary, and I elect to participate in spite of the risks.
RELEASE: I hereby voluntarily release and forever discharge GoSUP, its agents, or employees, and all other
persons or entities from any and all liability, claims, demands, actions or rights of action, which are related to, arise out of, or are in any way connected with my participation in this activity.
REPRESENTATION OF PHYSICAL CONDITION: I certify that I am physically fit to participate in the chosen activity and I have sufficient personal health, accident and liability insurance to cover any bodily injury or property damage I may incur while participating in this activity. If I have no such insurance, I certify that I am capable of personally
paying for any and all such expenses or liabilities.
ENTIRE AGREEMENT: I understand that this is the entire agreement between myself and GoSUP, its agents, or employees, and that it cannot be modified or changed in any way by the representation or statements of any employee or agent of GoSUP, or by me.
PUBLICITY RELEASE: From time to time we take video's and photos for social media and marketing purposes.
I understand that any such photos are the exclusive property of GoSUP.