White Squall Participant Information & Waiver Welcome and thanks for completing these forms. If you need a friend to help - give us a call (705) 342-5324.Select a Program or Trip Category*Select OnePrivate LessonPrivate Day TripPrivate Multi-day TripPrivate Name* Program or Trip Start Date* MM slash DD slash YYYY Participant Information(Will be kept confidential)Name* First Last Email* Phone*Emergency Contact Name* Emergency Contact Phone*Ages of the participants Are you comfortable in the water & able to swim 50m wearing a lifejacket?* Yes No Gender Male Female Prefer Not to Answer How did you hear about us?SelectInternetFriends/FamilyHighway BillboardRadioEventLive locallyOtherMay we use your photo and/or comments for promotions?* Yes No Information for Boat Fitting PurposesDo you need a boat/paddleboard that is:An average kayak fits a person who weighs between 140 and 180 lbs and is 5'6" to 6' tall. Above Average Average Below Average Boat Fitting DetailsAdd any details that you wish like, "I have big feet". For ideal fitting, add height and weight for each participant.Please note that a boat/equipment is provided, unless noted. If you want to use your own properly equipped kayak, please check with us first. If you do, we bring a tandem on all multi-day trips, and at some point, you will be asked to let another participant paddle your boat while you’re in the tandem. If you aren't comfortable with that, we ask that you leave your kayak at home.Are you planning on bringing your own boat or paddleboard?* Yes No Please describe your boat/equipmentDescribe your paddling/camping experiencePersonal & Medical Information(Will be kept confidential)Year of last Tetanus injection Medical Information*Please list any critical medical/emotional conditions, including allergies, that will affect participation. (ie. Heart condition, dislocations, headaches, epilepsy, asthma, diabetes, etc.)List critical medication(s) you are taking and dose(s).For full day or longer programs, please bring two waterproofed sets of critical medications. One set is for your instructor/guide.Dietary Information for Multi-Day Trip ParticipantsPlease tell us specifically what you can and cannot eat.We offer hearty & healthy meals and do our best to accommodate dietary requests. List food allergies/dietary restrictions and their severity. (Extra charges may be incurred to accommodate your special needs, and/or we may need you to bring some of your own food items.)Ok, what do you really like to eat?We do our best, but being on trip with a group means you won’t always be able to eat what you’re accustomed to at home. No promises...Day Programs: No refund for no shows or cancellations made less than 3 days in advance. A $25 fee applies for cancellations made 3 or more days in advance. Multi-day Trips & Courses: No refund for no shows or for cancellations made less than 15 days in advance. A $50 fee applies for cancellations made 15 or more days in advance. Program Cancellation: We reserve the right to cancel any program at any time due to unsafe weather or insufficient registration. In this case a full or partial refund (depending on circumstance) will be issued.Participant WaiverRELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTION OF RISKS, INDEMNITY AGREEMENT, AND JURISDICTION AGREEMENT BY SIGNING THIS DOCUMENT YOU WILL WAIVE OR GIVE UP CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE OR CLAIM COMPENSATION FOLLOWING AN ACCIDENT PLEASE READ CAREFULLY! TO: White Squall Ltd., Her Majesty the Queen in the Right of the Province of Ontario and its directors, officers, employees, instructors, guides, agents, representatives, independent contractors, subcontractors, suppliers, sponsors, successors and assigns (all of whom are hereinafter referred as “the Releasees”) DEFINITIONS. In this agreement: A) The term “activities” shall include all activities, events or services provided, arranged, organized, conducted, sponsored or authorized by the Releasees and shall include, but is not limited to: flat water kayaking, whitewater kayaking, sea kayaking, flatwater canoeing, whitewater canoeing, stand up paddle boarding, hiking, wilderness camping, winter camping, wilderness travel, snowshoeing, moving water, still water and ocean kayaking; rental of kayaks, canoes, stand up paddle boards (hereinafter “the boats”) and other related equipment; orientational and instructional courses, seminars and sessions; and all travel, transportation and accommodation. B) The term “transportation” shall refer to all forms of transportation off road and on public roads and private roads, including White Squall Ltd. owned vehicles, leased vehicles, Participant owned vehicles, motorized vessels and snowmobile either provided by or arranged by White Squall Ltd. or in any way related to the activities including, but not limited to: loading, unloading and travel in or movement around vehicles, motorized vessels and snowmobiles. C) The term “Injury” shall refer to all forms of physical, mental, and emotional injury in any way related to the activities and transportation including, but not limited to: death, breaks, strains, lacerations, dislocations, amputations, frostbite, hypothermia, trauma, property and financial loss, anxiety, phobias, allergies, psychological trauma and fears. I am aware that the activities and transportation involve risks, dangers and hazards in addition to those normally associated with travel in land and water based wilderness environments. These may include, but are not limited to: cold water, strong winds, currents, waves, boat traffic, open water crossings, hazards of wilderness travel, camping on exposed islands, wildlife attacks, lightning strikes, slipping and falling, exposure to temperature extremes, inclement weather, failure to predict weather, vehicle rollovers, overloaded roof racks, pulling trailers, unsafe driving, unsafe road conditions; the failure to boat safely within one’s own ability or within designated areas; human error, failure to forecast or recognize a hazardous situation, negligence of other boaters, hikers, or rescuers; and NEGLIGENCE ON THE PART OF OTHER PARTICIPANTS, WHITE SQUALL LTD. OR THEIR GUIDES, EMPLOYEES, AND CONTRACTORS INCLUDING THE FAILURE OF WHITE SQUALL LTD OR THEIR GUIDES, EMPLOYEES, AND CONTRACTORS TO SAFEGUARD OR PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS OF THE ACTIVITIES AND TRANSPORTATION. Communication in both land and water terrain used is difficult and in the event of an accident, rescue and medical treatment may not be available. Weather conditions may be extreme and can change rapidly and without warning, making travel by any means hazardous. I AM AWARE OF THE RISKS, DANGERS AND HAZARDS ASSOCIATED WITH SKIING, BOATING, CLIMBING, HIKING, RESCUE, WILDERNESS TRAVEL, AND TRANSPORTATION AND I FREELY ACCEPT AND FULLY ASSUME ALL SUCH RISKS, DANGERS AND HAZARDS AND THE POSSIBILITY OF PERSONAL INJURY, DEATH, PROPERTY DAMAGE OR LOSS RESULTING THEREFROM.Waiver Part A Checkbox* I agree with the above. Initial Here* In consideration of White Squall Ltd. allowing me to participate in the activities, and transportation, and my use of their services, equipment and other facilities, and for other good and valuable consideration, I hereby agree as follows: 1. TO WAIVE ANY AND ALL CLAIMS that I have or may have in the future against White Squall Ltd. and their owners, directors, officers, employees, instructors, guides, agents, independent contractors, representatives, successors and assigns (all of whom are hereinafter referred to as the “RELEASEES”) and TO RELEASE THE RELEASEES from any and all liability for any loss, damage, expense or injury including death that I may suffer or that my next of kin may suffer as a result of my participation in the activities, and transportation, DUE TO ANY CAUSE WHATSOEVER, INCLUDING NEGLIGENCE, BREACH OF CONTRACT, OR BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE, ON THE PART OF THE RELEASEES, AND INCLUDING THE FAILURE ON THE PART OF THE RELEASEES TO SAFEGUARD OR PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS OF THE ACTIVITIES AND TRANSPORTATION. 2. TO HOLD HARMLESS AND INDEMNIFY THE RELEASEES from any and all liability for any property damage or personal injury to any third party resulting from my participation in Wilderness Travel, and transportation; 3. TO HOLD HARMLESS AND INDEMNIFY THE RELEASEES from any and all liability for any costs they may incur for medical costs, search and rescue, evacuation, and litigation resulting from my participation in the Activities, and transportation; 4. That this Agreement shall be effective and binding upon my heirs, next of kin, executors, administrators, assigns and representatives, in the event of my death or incapacity; 5. That this Agreement and any rights, duties and obligations as between the parties to this Agreement shall be governed by and interpreted solely in accordance with the laws of the province of Ontario and no other jurisdiction, and 6. That any litigation involving the parties to this Agreement shall be brought solely within the Province of Ontario and shall be within the exclusive jurisdiction of the Courts of the Ontario.Waiver Part B Checkbox* I agree with the above. Initial Here* In entering into this Release Agreement I am not relying on any oral or written representations or statements made by the Releasees with respect to the safety of participating in the Activities, other than what is set forth in this Release Agreement. I CONFIRM THAT I HAVE READ AND UNDERSTOOD THIS RELEASE AGREEMENT PRIOR TO SIGNING IT, AND I AM AWARE THAT BY SIGNING THIS RELEASE AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS WHICH I OR MY HEIRS, NEXT OF KIN, EXECUTORS, ADMINISTRATORS, ASSIGNS AND REPRESENTATIVES MAY HAVE AGAINST THE RELEASEES.Waiver Part C Checkbox* I agree with the above. Initial Here* Thanks for putting up with these forms! See you soon.PhoneThis field is for validation purposes and should be left unchanged.