R6, 2018-04-20

NOTE: Wisconsin Riverside Resort does not accept paper waivers, please submit electronically.


Wisconsin Riverside Resort, Inc. (WRR) is committed to the safety of its participants in our recreation activities. Risks can be significantly reduced if everyone follows safety rules and instructions that are designed to protect the safety of our participants. This applies to all renters, passengers, users and minor children of equipment provided by WRR. You are solely responsible for determining if you or your minor child are physically fit and skilled for activities requested by this agreement. It is always advisable to consult a physician before undertaking any physical activity, especially if the participant is pregnant, disabled or ill.

Participant is voluntarily renting recreational equipment from WRR at their own risk. Canoeing, tubing and kayaking involve physical activity, and use mental and emotional resources of each participant.

· Act within the limits of participants’ ability. There is still a risk of serious injury, including drowning.

· Heed all warning regarding participation in the recreational activity. All hazards and dangers cannot be foreseen. Certain risks include, but are not limited to, dangerous weather and water conditions, rising waters, faster currents, insect bites, capsizing, being pinned between trees, hypothermia, sunburn, heatstroke, dehydration, inadequate supervision, horseplay, carelessness, poor canoeing/tubing/kayaking techniques, poor swimming skills, loss of personal articles and failure to wear personal floatation device.

· Maintain control of his or her person and the equipment the person is using while participating in the recreational activity.

· Refrain from acting in any manner that may cause or contribute to the death or injury to himself or herself or to other persons while participating in the recreational activity.

· Violations constitute negligence and in this regard, it is impossible for WRR to guarantee absolute safety. Upon arriving at our facility participant agrees they have inspected equipment and acknowledge that upon receipt it is in good working order. Participant understands and agrees that WRR is not providing supervision or instruction in the use of equipment and the participant is solely responsible for determining the appropriate uses for the equipment. Participant agrees to be responsible for any damage to the equipment, except ordinary wear and tear.

By signing this form the participant, and all in their group, will be expressly assuming the risk and legal liability and waiving and releasing WRR from all claims for injuries, damages or loss which you or your minor child might sustain as a result of participating in any and all activities, including transportation services and vehicle operations. Including its owner, employees and all third parties. See Wis. Stats. 895.52 Recreational Activities: Limitation of Property Owners’ Liability

I recognize and acknowledge that there are certain risks of physical injury to participants, and I voluntarily agree to assume the full risk of any and all injuries, damages or loss, regardless of severity, that myself, or my minor child may sustain as a result of participation in recreational activities. I further agree to waive and relinquish all claims I or my minor child may have as a result of participating in recreational activities against WRR, including its owners and employees.


In case of an emergency please call 911. For a non-emergency please call the rental office at 608-588-2826. If the local fire department is called for an emergency and the situation is deemed to be a non-emergency by the fire department the customer may be charged a fee up to $600. The customer is then responsible for paying the fee. WRR is not responsible for the fee.

Charges may be incurred for lost or damaged articles belonging to WRR.

I have read and fully understand the above important information, warning of risk, assumption of risk and waiver and release of liability. If registering online, online signature shall substitute for and have the same legal effect as an original form signature.

Click to Sign

By checking here, you acknowledge you have read and understand the above terms, and are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.