ACKNOWLEDGMENT OF RISK FORM
In consideration of the services provided by Fly Gyde LLC their officers, agents, employees, stockholders, and all other persons or entities associated with this business, I agree as follows: Although Fly Gyde LLC has taken reasonable steps to provide me with appropriate equipment and skilled guides so that I may enjoy the activity for which I may not be skilled. Fly Gyde LLC has informed me that this activity is not without risk, which is inherent in each activity and cannot be eliminated without destroying the activity's unique character. These inherent risks are some of the same elements that contribute to the unique character of this activity and can be the cause of loss or damage to my equipment, or accidental injury, illness, or in extreme cases, permanent trauma, or death. Fly Gyde LLC does not want to frighten or reduce my enthusiasm for this activity but believes it is important to know in advance what to expect and to be informed of the inherent risks. By way of example, and not limitation, these hazards include wet or uneven surfaces, slips, trips, falls, collisions with or entrapment in rocks or trees both above and below the water, equipment failure, vehicle accidents, encounters with wildlife, and weather conditions. The risk of injury from these hazards, both known and unknown, as well as from the use of the equipment, the transportation provided, and the use of the river and its surrounding areas are significant. Including but not limited to; cuts, lacerations, bruises, sprains, strains, dislocations, broken bones, head injuries, drowning, permanent paralysis, or death. I have familiarized myself with the conditions of the river and the weather conditions/forecast for the duration of my involvement in the activity.
I am aware that participating in operations with Fly Gyde LLC risks of injury or death to any participant. I understand the description of these inherent risks is not complete and that other unknown or unanticipated inherent risks may result in injury or death. I agree to assume and accept full responsibility for the inherent risks identified herein and those inherent risks not specifically identified. My participation in this activity is purely voluntary; no one is forcing me to participate, and I elect to participate despite and with full knowledge of the inherent risks.
I acknowledge that engaging in this activity may require a degree of skill and knowledge different from other activities and that I have responsibilities as a participant. I acknowledge that the staff of Fly Gyde LLC is available for me to ask for a more in-depth explanation of the nature and physical demands of this activity and the inherent risks, hazards, and dangers associated with this activity.
I certify that I am fully capable of participating in this activity. Therefore, I assume and accept full responsibility for myself, including all minor children in my care, custody, and control, for bodily injury, death, or loss of personal property and expenses as a result of those inherent risks and dangers not specifically identified, as a result of my negligence in participating in this activity.
I have carefully read, clearly understood, and accepted the terms and conditions stated herein and acknowledge that this agreement shall be effective and binding upon me, my heirs, assigns, personal representative, and estate and for all members of my family, including minor children. I acknowledge that this release is for the duration of the calendar year for which it was signed and that I will not be signing a release form for each trip that I/we participate in.
I have read and acknowledge Fly Gyde LLC trip FAQ, Booking & Cancellation Policy, as well as information regarding Trip Insurance for the purpose of protecting guests in case of emergencies. These can be found on Fly Gyde’s website by searching the above terminology, as well as on each product purchased, and is included on confirmation emails.
ALLERGIES or RESTRICTIONS: Please indicate if you have any allergies or restrictions that we need to be aware of (For example: anaphylaxis reaction to bees/nuts or recent surgeries).
If you do not have any restrictions, please indicate N/A: ___________________________________________________________________
PHOTO RELEASE
By signing I hereby grant permission to Fly Gyde, LLC to use photographs and/or video of the participate, including minors, named on this Acknowledgment of Risk form, in publications, news releases, online and in other communications related to Fly Gyde, LLC and its affiliates.
EMERGENCY CONTACT:
Relationship to you: ___________________________________________________________________________________________
First & Last Name: __________________________________________________________________________________________
Phone Number: ____________________________________________________________________________________________
Valid for the calendar year
NAME of PARTICIPANT (if participant is a minor, please also complete the consent section below)
Print Name ______________________________________________________________ Date _______________________
Signature: ___________________________________________________________________________________________
Washington State Fishing WILD ID: 11-12 digits, no letters, this is not the DOC#: (required) _________________________________________________________
Participant Complete Address, including City, State & Zip Code: ____________________________________________________________________________________
Phone Number: ____________________________________________________________________________________
Email:______________________________________________________________________________________________
Consent of Parent/Guardian for participating minors under 18 yrs old, listed above
I am the parent or guardian of the minor listed above. I certify that they properly fit into the equipment, including life vests (or we will provide our own), that they are able to properly use it, and that they are capable of participating in the activity and its related events. I certify that I, as a parent/guardian with legal responsibility for this participant, do consent to their use of the equipment and participation in the activity and its related events.
Print Guardians Name: _________________________________________________________ Date: ___________________
Guardian’s Signature:________________________________________________________________________________________
Phone Number: ______________________________________________________________________________________________
COVID-19 Response / Effective Date March 31st, 2020
I understand that other participants utilize equipment provided by Fly Gyde LLC before and after my visit. Equipment includes, but is not limited to the passenger vehicle, boat, lifejackets, fishing rods, and other miscellaneous items. Fly Gyde LLC understands that the contraction of the transmissible COVID-19 (SARS-CoV-2 / Coronavirus) is a severe issue affecting angler safety and those within the community. For this reason, we recommend that a face-covering is worn when within 6 feet of other anglers or your guide. Due to the contagious nature of COVID-19, Fly Gyde LLC utilizes an EPA-Approved, Centers For Disease Control recommended, disinfecting agent (#777-89) to clean all equipment and vehicles between anglers visits. If anyone in your group has further questions, please contact us at any time for additional information.
COVID-19 SELF CHECK
We ask that all anglers check for any of the following symptoms, which may appear 2-14 days after exposure to the virus before your trip. If any of the listed symptoms are present, please notify Fly Gyde LLC to reschedule your trip for a later date.
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Cough
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Shortness of breath or difficulty breathing
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Fever
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Chills
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Muscle pain
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Sore throat
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New loss of taste or smell
Look for emergency warning signs for COVID-19. If someone is showing any of these signs, seek emergency medical care immediately:
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Trouble breathing
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Persistent pain or pressure in the chest
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New confusion
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Inability to wake or stay awake
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Bluish lips or face
Centers For Disease Control Recommended Guidelines
These guidelines are strictly adhered to whenever possible to reduce the risk of impacting our guests.
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CDC/EPA guidance for businesses, public spaces, workplaces, schools, and homes
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Additional guidance for cleaning and disinfection, including when someone is sick