ALASKA WILDERNESS SUP, LLC
WAIVER, RELEASE OF LIABILITY & ASSUMPTION OF RISK
NAME of PARTICIPANT: _________________________________________ DATE: _______________
ADDRESS: ____________________________ PHONE: ______________ EMAIL: ___________________
The undersigned participant (or guardian of minor under age 18) ________________________________ voluntarily makes
and grants this Waiver and Release of Liability and Assumption of Risk in favor of Alaska Wilderness SUP, LLC. I do hereby
waive and release any and all claims of negligence or strict liability arising out of my use or misuse from products presented
while renting a paddleboard and associated gear* from Alaska Wilderness SUP, LLC. I do hereby waive and release any and
all claims of negligence or strict liability arising out of my participation in lessons, classes, tours, and special events offered
by Alaska Wilderness SUP, LLC, regardless of whether they are compensated or free services. Initial ____
I fully understand, recognize and acknowledge that stand up paddling is a hazardous activity that I am about to engage in
voluntarily with the potential risks and dangers from my negligence and the negligence of others such as the possibility of
physical and mental injury to myself and/or others, damages to my board and/or the board of others, illness and disease,
paralysis and even death, which I nevertheless accept. Initial ____
I represent that I am qualified to participate and am in good health and proper physical condition to participate in such
activities. I represent that I possess a competent ability for maintaining a floating position with a personal flotation device in
the event of water submersion. I fully understand that I am required to wear a leash connecting me to the paddleboard and
a personal flotation device at all times in the designated launching area and while on the water. Initial ____
As a condition for the use of the paddleboard and associated gear* from Alaska Wilderness SUP, I assume all responsibility
for any injury or damage of any nature and extent caused by or resulting from my use or misuse of the products. I agree to
use my best judgment in undertaking this activity and to faithfully adhere to all safety instructions and recommendations,
whether written or oral. I acknowledge that my right to participate may be denied at any time without refund in the case of
misconduct or failure to follow guide instructions. I agree that if in the judgment of my instructor and/or guide, he/she must
call for assistance during the trip due to my noncompliance with his/her instructions or Alaska Wilderness SUP, LLC’s policies
that I accept responsibility for paying any associated rescue and transportation cost. Initial ____
I will not hold Alaska Wilderness SUP, LLC liable for damage or loss to any personal items carried with me on or near the
body of water. I will further assume the responsibility of returning the rental paddleboard to the company in good
condition. I acknowledge that failure to return the paddleboard and associated gear* when expected or returning the
paddleboard and associated gear* with damage will incur charges to my credit card for extra time, repairs and/or
replacements. I acknowledge that associated gear* in this form refers to a personal flotation device, leash, paddle, fins,
pump, bag, and anchor. Initial ____
By participating in or attending any activity in connection with Alaska Wilderness SUP, LLC, I consent to the use of any
photographs, film or videotape taken of me or provided by me to publicity, promotion, television, websites, or any other
commercial use, and expressly waive any right of privacy, compensation, copyright, or other ownership right connected to
the same. Initial ____
I hereby certify that I am a competent adult assuming the risks of my own free will, being under no compulsion or duress. I
hereby release Alaska Wilderness SUP, LLC, its instructors, employees, agents, owners, contractors, and vehicle operators
from all liability, claims, demands, losses, injuries, damage to property, or other damages on my account caused or alleged
to be caused in whole or in part by the negligence of the staff of Alaska Wilderness SUP, LLC, including negligent rescue
operations. My signature below indicates that I have read this agreement and fully understand its terms, and intend it to be
a complete and unconditional release of all liability to the greatest extent allowable by law. Initial ____
SIGNATURE OF PARTICIPANT/LEGAL GUARDIAN: ________________________ DATE: _____________
ALASKA WILDERNESS SUP, LLC
DECLARATION OF HEALTH
I, _________________________________________ (print full name here), declare that on this day,
I meet the essential eligibility requirements for my activity with Alaska Wilderness SUP, LLC (“AWS”):
Lessons, classes, day trips, half day trips and special events:
a) Know how to swim
b) Able to wear wetsuit (if recommended) plus a personal flotation device (PFD) for the duration of the activity
and will come prepared with warm clothing layers, as specified in “what to bring” page of AWS website
c) Able to use provided paddle, using two arms, to self-propel and safely control paddleboard in all directions
d) Able to get on and off paddleboard independently or with assistance of a companion during launch and
return to shore
e) Able to remain face-up in the water with the aid of a lifejacket and make progress toward paddleboard in the
event of a fall into the water
f) Able to understand and follow all verbal and/or visual instructions from AWS guide
g) Able to move about the Base Camp and launch area, which may include rocky and unstable ground,
independently or with the assistance of a companion
h) Meet body weight requirement of 240 lbs or less (as per paddle board maximum weight capacity).
i) Will bring any personal medications (ie: asthma inhaler, epi-pen, diabetes management) or snacks needed to
sustain duration of activity
Day Trips and Half Day Trips: Additional Requirements
j) Able to tolerate extreme weather conditions, including strong wind, snow, rain, direct sunlight, air
temperatures ranging from 20-80 degrees F, and potential exposure to glacial water
k) Able to stand and kneel on an unstable surface for a duration of 2-3 hours
Personal health information:
Medical Conditions: __________________________________________________________________________
Medication List: _____________________________________________________________________________
Known Allergies: _____________________________________________________________________________
SUP Experience Level:
Beginner
Intermediate
Advanced
How did you hear about us? _________________________________________
I declare that I am in good health and do not suffer from any condition which would make it unsafe for me to
participate. My signature confirms that all of the above information is completely accurate and truthful.
NAME OF PARTICIPANT (PRINTED): ______________________________________________________________
EMERGENCY CONTACT NAME/PHONE NUMBER: ___________________________________________________
SIGNATURE OF PARTICIPANT or LEGAL GUARDIAN: _________________________________________________
DATE: ______________