River Action's Taming of the Slough

Saturday, September 28, 2024 at Bass Street YMCA in Moline, IL

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Event Waiver and Release Form

In consideration of the services of River Action, their agents, owners, officers, volunteers, participants, employees, and all other persons or entities acting in capacity on their behalf (hereinafter referred to as RA) I hereby agree to release and discharge RA on behalf of myself, my children, my parents, my heirs, assigns, personal representative and estate as follows:

1. I acknowledge that Taming of the Slough entails known and unanticipated risks which could result in physical or emotional injury, paralysis, death, or damage to myself, to property, or to 3rd parties. I understand that such risks simply cannot be eliminated without jeopardizing the essential quality of the activity. The risks include, among other things: Collision with other participants, the walls or other fixed objects, falling down; my own equipment or the failure of other's equipment; my own or other's negligence; objects or conditions on the course that may cause me to fall; broken bones; sprains; head, neck/back injuries; abrasions; and bruises.

2. I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless RA from any and all claims, demands, or causes of action, which are in any way connected with my participation in their activity or my use of RA's equipment or facilities, including such claims alleging negligence or omissions.

There will be no refunds if the event must be cancelled for any reason. There will be no refunds for participant cancellations. Substitutions may be permitted. Refunds will not be provided for registrants who do not attend the event.

Please Sign Below

Your electronic signature is the online equivalent of your ink-on-paper signature, and can be provided by typing your name where indicated. The electronic signature will signify your understanding, acceptance, and authorization to accept the conditions of this legal document, including the following statements:

  • I have read, have understood, and do accept the agreement above.
  • I understand that this is a legal document with effects that I approve and authorize.
  • The registrant is the person(s) whose name is submitted as the recipient of the goods and services provided as a result of this transaction.
  • I am authorized to agree to the terms of this document on behalf of the registrant.
  • If the registrant is under 18 years of age, incapacitated, or mentally challenged, I assert that I am the parent/legal guardian or otherwise authorized to execute a legally binding agreement on behalf of the registrant.

Electronic Signature

You must be 18 years of age to legally complete this registration. If the registrant is under 18, an authorized adult must complete this form.
If the person you are registering (registrant) is under 18, do not enter his/her age. You will do that on the next step. Enter your age here as the person completing the form.




Multiple signers should separate their signatures with commas.


This agreement was generated at 9:08:57 AM EDT on 09/18/2024.