Whitewater rafting and kayaking on Idaho's Middle Fork and Main Salmon Rivers

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Assumption of Risk Agreement
(Each participant must read and complete the form below. Please print and return both pages of this form or fill one out in the brochure. Mail the completed form the address at the bottom of the page, or fax to 208-634-4766.)

I, the undersigned, hereby acknowledge that I fully understand that there are inherent risks in whitewater trips, the transportation to and from the river, as well as the recreational activities (hiking, swimming, camping, etc.) that are associated with this kind of wilderness experience. These risks are impossible to eliminate by even the most prudent and careful planning and conduct on the part of the officers, guides, agents, and employees of CANYONS INCORPORATED. Participating in these activities entails unavoidable risk of loss of life, personal injury, and loss of or damage to personal property.

I have read and understand the cancellation policy, and have been advised to obtain trip cancellation insurance.

In consideration of CANYONS INCORPORATED furnishing services to enable me to participate, I hereby assume all risk of any and all damages of whatever type or kind resulting from loss of life or injury to myself, or loss of or damage to property, arising out of my participation in such a wilderness whitewater trip.

I HAVE READ THIS AGREEMENT, AS WELL AS THE INFORMATION ON THE WEB SITE AND/OR IN THE CATALOG, AND ASSUME ALL RISK.

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Signature

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Parent/Guardian Signature for children under 18 years old

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Printed Name

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Date

Medical Questionnaire
We ask for the following information so we can size the wet suits, life jackets, and plan the menus to accommodate your dietary needs. You should confer with your doctor about the advisability of doing a wilderness whitewater trip. The information below will be confidential. Please use additional paper if necessary.

Age _____	Height _____	Weight ______	T-shirt size_____
Swimming ability________________

Please check the following conditions that apply to you and provide details in the space below.

____ pregnant
____ smoke
____ take medication (list below)
____ under MD's care
____ high blood pressure
____ allergies

____ heart or lung disease
____ diabetes
____ back problems
____ joint problems
____ dietary needs
____ dietary preferences

Comments on above conditions and other physical or mental conditions that we should be aware of:

___________________________________________________________________________

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In emergency, please notify: ______________________________________________________

Telephone (s): ____________________________