Wavier/Release Form Adventures by True North AK Agreement & Waiver/Release of Liability Date Name(Required) First Last Birth Date(Required) Email(Required) Phone(Required)Emergancy Contact Information(Required)Please provide an emergancy contact name and phone number. Rental AgreementI acknowledge and agree(Required) I do hereby indicate that I have been given a copy of the Equipment Rental agreement to review and my questions have been answered. I do hereby understand all the terms and conditions outlined in the agreement.Waiver of Liability, Assumption of Risk, Indemnity, Photo/Model Release Agreement Notice, and Agreement to Mediate or Arbitrate DisputesI acknowledge and agree(Required) I do hereby indicate that I have been given a copy of this waiver/release of liability to review.I acknowledge and agree(Required) I do hereby indicate that I have been given a copy of the photo and model release.I acknowledge and agree(Required) I do furthermore acknowledge that I understand all the terms and conditions and accept the inherent risks associated with participation in a tour, rental, and or class hosted by Van Kampen Holdings LLC doing business as Adventures by True North AK. These risks have been explained to me by a representative of the company, and any questions or concerns that I have about the activity have been addressed prior to starting the activity. I do acknowledge that I am participating despite all known and unknown risks associated with the activity.Signature(Required)Your NameYour NameYour NameYour NameI certify that I have carefully read and fully understand the contents of this waiver, including all terms and conditions. I acknowledge that I am signing this document voluntarily, without any pressure or inducement, and with full knowledge of its legal significance. By signing below, I agree to be bound by all terms in this waiver, release of liability, photo release, and rental agreement. Furthermore I certify that I am of legal age and mentally competent to sign this agreement, or, if signing on behalf of a minor, that I am the legal guardian authorized to do so. I further certify that I, or the minor participant, possess the mental and physical competency necessary to understand and assume the risks involved in the activities provided by Van Kampen Holdings LLC doing business As Adventures by True North AK. By signing this waiver, I acknowledge that I have been given the opportunity to ask questions and have had all aspects of the waiver, including the risks and responsibilities, explained to me in full.Consent on behalf of a minnor(s) I certfiy that I am the parent or gurdian of the minor(s) listed in this formMinnors Name(s)Medical ConditionsI understand that it is my responsibility to notify Van Kampen Holdings LLC of any health conditions that could affect my safety or the safety of others during the activity.
