R35, 2024-03-26

NOTE: Salty Dog Kayak Rentals does not accept paper waivers, please submit electronically.

Waiver and Release of Liability and Agreement

Equipment rental between Sarah’s Kayaking Company LLC (DBA Salty Dog Kayak Rentals), herein called “Company” and the undersigned, herein called “Customer.” This agreement also constitutes a Waiver and Release of Liability, whereby Customer agrees to release, discharge and hold harmless, defend and indemnify Company and its owners, agents, officers and employees from any and all claims, actions, or losses for bodily injury, property damage, wrongful death, loss of service or otherwise, which may arise out of Customer's use of Company's rental equipment, premises or facilities or Customer's participation in kayaking, canoeing and other paddlesport-related activities.

Customer agrees to obey all state, federal and local regulations, laws, ordinances and lawful directives from appropriate law enforcement and emergency personnel. Customer is solely responsible for any citation or violation occurring during while operating Company's rental equipment.

Customer represents that he/she is capable of safely operating and handling the rental equipment. Customer agrees to return all rental equipment in the same condition as it was received and agrees to pay for any and all damages (normal wear and tear excepted) and/or loss of equipment that results from the Customer's use of the equipment. Furthermore, Customer authorizes the Company to charge the credit card on file for any/all such damages or loss.

Customer agrees to use all rental equipment strictly in accordance with manufacturer recommendations. Specifically, Customer agrees to never exceed the "number of persons" or "weight capacity" limits of kayaks and canoes.

Customer expressly acknowledges that kayaking, canoeing and other paddlesport related activities are with inherent risks of injury to persons and property. CUSTOMER IS AWARE OF THOSE RISKS AND UNDERSTANDS THEM FULLY. CUSTOMER ACKNOWLEDGES THAT WEARING OF PFD'S (LIFE JACKETS) IS REQUIRED AND AGREES THAT HE/SHE (AND ALL MINORS IN THEIR PARTY) WILL WEAR SUCH PFD AT ALL TIMES WHILE OPERATING THE RENTAL EQUIPMENT. Customer understands that use of PFD does not remove all risks of injury; nor does PFD use make kayaking, canoeing and other paddlesport activities safe. Customer alone has determined the sufficiency of any safety gear or other precautions that Customer decides to take on to minimize the risks of activities. No party related to Company, including owner or employees, has made any representations regarding the safety of, or the risks of the activities. CUSTOMER EXPRESSLY ASSUMES THE RISKS OF THE ACTIVITIES. Customer agrees that Company will not be responsible for for any medical costs associated with an injury he/she might sustain before, during and after use of the rental equipment.

RELEASE OF LIABILITY: Customer hereby RELEASES Sarah’s Kayaking Company LLC (DBA Salty Dog Kayak Rentals), its owners, agents, officers and employees from liability for negligence and HOLDS HARMLESS Sarah’s Kayaking Company LLC (DBA Salty Dog Kayak Rentals), its owners, agents, officers and employees from any loss, expense or cost, including attorney fees, arising out of any damage, injury or death, occurring as a result of the use of rental equipment.

Customer represents that he/she has not been diagnosed with COVID-19 virus, or, in the last 14 days, has not experienced any symptoms of COVID-19, including fever, cough or shortness of breath, or come in contact with any persons who has been confirmed or suspected of having COVID-19.

Customer acknowledges that the Company periodically takes pictures and/or video footage of the rental area and surrounding waterways for the sole purpose of marketing of the business on its website and social media channels. In the event that Customer knowingly or unknowingly appears in said picture or video footage, he/she gives permission to Company to use such images on its website and social media channels. This permission will continue in perpetuity unless agreed to, in writing, by Company and Customer. Customer waives any right to royalties or other compensation arising from or related to the use of the image.

This agreement constitutes the entire agreement between Customer and Company and no term may be voided or modified (including provision against oral modification) except in writing signed by both parties. This agreement is one of bailment only and Customer is not Company's agent while using the rental equipment. The laws of the State of Florida shall govern this agreement.

Please select who will be participating:

First Minor's Information

Minor's Name

Minor's Date of Birth

Year Month Day

I hereby certify that I am the adult parent or guardian of individual listed above, a minor child under the age of eighteen years, and I consent to his/her participation in the paddlesport activities listed above. Furthermore, I assume full responsibility for his/her actions before, during and following said activities.

Second Minor's Information

Minor's Name

Minor's Date of Birth

Year Month Day

Third Minor's Information

Minor's Name

Minor's Date of Birth

Year Month Day

Fourth Minor's Information

Minor's Name

Minor's Date of Birth

Year Month Day

Fifth Minor's Information

Minor's Name

Minor's Date of Birth

Year Month Day

Sixth Minor's Information

Minor's Name

Minor's Date of Birth

Year Month Day

Please enter your legal name.

Full Name

Legal Name of Adult Participant

Date of Birth

Year Month Day

Emergency Contact Name

Emergency Contact Phone Number

I agree to all terms and conditions listed above, am at least 18 yrs of age, and give my permission to electronically consent.

By checking here, you acknowledge you have read and understand the above terms, and 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.

Click to Sign

Signature

The following checkboxes are required by the FLORIDA FISH AND WILDLIFE CONSERVATION COMMISSION:

Operator is responsible for the safe and proper operation of the vessel; Avoid careless, reckless and negligent operation of vessels; Alcohol and substances impair judgement and are forbidden.

Maintain a proper lookout; Keep a safe distance from other vessels and objects; Operate in a defensive manner.

Operator acknowledges that orange buoys are used as waterway markers inside Werner-Boyce Salt Springs State Park. The Pasco County Energy & Marine Center marks the entrance to the Werner-Boyce Salt Springs State Park inlet.

Operator agrees to be aware of changes to weather or water conditions and proper responses to those changes, including returning to launch if lightning is within 10 miles.

Operator agrees to wear PFD (life jacket) at all times.

Operator confirms their ability to get in and out of vessel unassisted.

If the vessel capsizes, operator will flip vessel to the upright position. Operator will position themselves just in front of the seat. With a firm grip on the edge of the kayak, the operator will float their legs to the surface behind them, and then give a powerful kick of the legs and push with their arms to haul their chest up and onto the kayak. Once there, operator will keep a low center of gravity, twist around and settle back into the seat.

Operator understands that if there is an accident, legal requirements call for the operator to remain on-scene, render assistance, and report incident to authorities.

Operator acknowledges on-the-water demonstration at time of departure and agrees to safely operate the vessel.

Operator understands that they should give manatees space to surface and breathe. Paddle your vessel to avoid traveling over resting, feeding, and swimming manatees.

Operator acknowledges oyster beds inside and outside of Werner-Boyce Salt Springs State Park may cause injury to the operator and vessel.

Click to Sign

I hereby acknowledge I have received the required pre-rental and pre-ride instruction as specifically acknowledged above, and I understand the rules and information provided in this orientation.

Sat May 18, 2024