Canoe Rental and Waiver Forms
		Release of Claims for Personal Injury Received of ___________________ $50.00, $20.00 of which represents a deposit, in full compromise, settlement and adjustment, of all claims and demands of every character whatsoever which I have against said City of Jackson, its officers, agents and employees on account of injury to any person, and loss on this ____ day of _________ 200_, and on every other account whatsoever. ____________________ Renter ____________________ Witness ____________________ Jackson Parks and Recreation
	Canoe Rental Form Name: ______________ Address: ___________________ Phone: __________ List names of persons in canoe: ________________ Emergency Contact: ______________ Emergency Contact Phone: ______________ Rules: Renters must show a valid picture ID. Renters of canoes must be over the age of 18 A responsible adult must accompany children All weight limits for canoe must be complied with Safety video must be reviewed at Douthitt Park prior to rental for all beginners No illegal substances and alcohol are allowed in canoes Lifejackets will be provided and worn I have read the following rules and agree to comply: _________________________ Which type of picture ID: ________________ $50 deposit: ________(cash or check): ________ Park Staff Signature: _____________________________
			Print these documents, sign and return to: Jackson Parks & Recreation Dept. PO BOX 841 Jackson, KY 41339