First and Finest on the Delaware!

PARENT/GUARDIAN PERMISSION FORM

(This form to be used for minors only)

I hereby grant permission for my child,                                                         to participate in tubing whitewater rafting kayaking, camping, or canoeing at Kittatinny Canoes Inc., River Beach Campsites, Kittatinny Campgrounds,Kittatinny Canoe Corp., or Jones Partners, L.P. together called "Outfitters", on (date)                           and I hereby agree as follows:

I fully understand and acknowledge that: (a) risks and dangers exist in my child's use of rafting tubing, kayaking, camping or canoeing equipment and my child's participation in rafting tubing, kayaking, camping or canoeing activities; (b) my child's participation in such activities and/or use of such equipment may result in injury or illness or death or damage to personal property (c) these risks and dangers may be caused by outfitters or other participants, or by accidents, or by the forces of nature or other causes. Risks and dangers may arise from foreseeable or unforeseeable causes including, but not limited to, selection of trial or river route, water level, weather conditions, risks of falling out of a raft, kayak, tube or canoe, and such other risks, hazards and dangers that are integral to recreational activities that take place in a wilderness, outdoor or recreational environment; and (d) I hereby accept and  assume these risks and dangers. 

I have been advised that my child must wear an approved personal flotation device at all times while or) the water. I affirm that my child will riot be under the influence of alcohol or controlled substance, and will not carry, use, or consume these substances before or during her/his scheduled activities. Any Claims or dispute arising from my child’s, participation in Outfitters activities or use of Outfitters, equipment shall be venued in the Pike County Court of Common Pleas of the Commonwealth of Pennsylvania or the Sullivan County Supreme Court of the State of New York.

My child is in good health and is at or above the minimum age stated in Outfitters brochures for each activity in which he/she will participate. I understand that strenuous physical exertion may be required and my child has no known physical disabilities or health problems, which will present any risk to his/her participation in the activities. I permit the use of any photos, slide, films, or sketches of him/her taken during the day's activities for publicity, advertising, promotion or other commercial purpose. The above agreement shall be binding on my heir, successors, assigns, administrators, and executors.

I HAVE READ THE, ABOVE AND BY SIGNING IT AGREE. IT IS MY INTENTION TO GRANT PERMISSION FOR MY CHILD TO PARTICIPATE, IN KITTATINNY CANOES INC., RIVER, BEACH CAMPSITES, KITTATINNY CAMPGROUNDS, KITTATINNY CANOE CORP, OR JONES PARTNERS, L.P. RAFTING TUBING, KAYAKING, CAMPING, OR CANOEING ACTIVITIES. AND TO ASSUME AND ACCEPT ALL RISKS ASSOCIATED THEREWITH,

Parent  (print)                                                                          Signature:                                                                                
or Guardian
Street and  Apt. Address:                                                                                                                                                       

City: ___________________________ State:                Zip:                                                               

Child's Name: ________________________________ Age:             Trip Date:                              

Childs Signature:                                                                                               

DO NOT LOSE - PLEASE GIVE COMPLETED FORM TO YOUR GROUP LEADER