This page is only intended for review and testing. NO forms submitted will be used for anything other than website testing.

There are 5 forms in total. 2 of the 5 are alternate versions of the same form, the minor release form with versions A & B.

The 5th form (SUP Rental Form) will likely need some automated logic to capture what happens when the paper(in person) form is currently processed. This form needs the most additional work/follow up questions answered to capture the intent and business practices/logic applied by Heidi when she’s working with people in person and some of that can/will be captured in this form.

It’s possible, that logic could be applied based on answers in the SUP Rental form that then trigger all other forms and the quantity of those forms.

For example, if someone were to fill out a SUP Rental form for 2 adults and 1 minor, that might trigger 2 adult releases, 1 minor release and 3 photo release form entry areas.

Form 1 - Adult Waiver

Form 2 - Minor Waiver verA

Form 3 - Minor Waiver verB

Form 4 - Photo release

Form 5 - SUP Rental

Draft Form 1 – Adult Waiver

ADULT WAIVER & RELEASE OF LIABILITY

ANCHORED SOUL, INC. ADULT WAIVER & RELEASE OF LIABILITY

Read Before Signing(Required)

IN CONSIDERATION of being permitted to participate in any way in the Anchored Soul, Inc. sports and recreation program and related activities (“Activities”) I, for myself, my personal representatives, assigns, heirs, and next of kin:

ACKNOWLEDGE, agree, and represent that I understand the nature of paddlesports and related activities and that I am
qualified, in good health, in proper physical condition to participate in such activity and willingly agree to comply with the stated and customary terms and conditions of participation. I further agree and warrant that if at any time I believe conditions to be unsafe, I will immediately discontinue further participation in the Activity. If I decide to leave early and not complete the trip as planned, I assume all risks inherent in my decision to leave.

FULLY UNDERSTAND that: (a) Paddlesports and related ACTIVITIES INVOLVE RISKS AND DANGERS OF DAMAGE TO PERSONAL PROPERTY AND SERIOUS BODILY INJURY, INCLUDING PERMANENT DISABILITY, PARALYSIS, AND DEATH (“RISKS”); (b) these Risks and dangers may be caused by my own actions or inactions, the actions or inactions of others, the environment and/or wildlife; (c) there may be OTHER RISKS AND SOCIAL AND ECONOMIC LOSSES either not known to me or not readily foreseeable at this time; and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND ALL RESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES I incur as a result of my participation or that of the minor in the Activity.

HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE Anchored Soul, Inc., its Paddle America Clubs, affiliated clubs and organizational affiliates, their respective ACA certified instructors, certified instructor employees, other participants, any sponsors, advertisers, and, if applicable, owners and lessors of premises on which the Activity takes place, (each considered one of the “RELEASEES” herein) FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, INJURIES, DAMAGE TO PROPERTY, OR OTHER DAMAGES ON MY ACCOUNT CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE “RELEASEES” OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS; AND I FURTHER AGREE that if, despite this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT I, or anyone on my behalf, makes a claim against any of the Releasees, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES from any litigation expenses, attorney fees, loss, liability, damage, or cost which any may incur as the result of such claim.

rev 5-17-2019

I HAVE READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND HAVE SIGNED IT FREELY AND WITHOUT ANY INDUCEMENT OR ASSURANCE OF ANY NATURE AND INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT.

Name(Required)

Date of Birth(Required)

Address(Required)

Email(Required)

Phone(Required)

Signature

Date Signed(Required)

Term of Liability Waiver 1-Year

Date of Expiration of Liability Waiver

This will be today's date next year.

Draft Form 2 – Minor Release Waiver Version A

MINOR WAIVER & RELEASE OF LIABILITY ver A

all one page form

ANCHORED SOUL, INC. MINOR WAIVER & RELEASE OF LIABILITY

Read Before Signing(Required)

IN CONSIDERATION of being permitted to participate in any way in the Anchored Soul, Inc. sports and recreation program and related activities (“Activities”) I, for myself, my personal representatives, assigns, heirs, and next of kin:

ACKNOWLEDGE, agree, and represent that I understand the nature of paddlesports and related activities and that I am
qualified, in good health, in proper physical condition to participate in such activity and willingly agree to comply with the stated and customary terms and conditions of participation. I further agree and warrant that if at any time I believe conditions to be unsafe, I will immediately discontinue further participation in the Activity. If I decide to leave early and not complete the trip as planned, I assume all risks inherent in my decision to leave.

FULLY UNDERSTAND that: (a) Paddlesports and related ACTIVITIES INVOLVE RISKS AND DANGERS OF DAMAGE TO PERSONAL PROPERTY AND SERIOUS BODILY INJURY, INCLUDING PERMANENT DISABILITY, PARALYSIS, AND DEATH (“RISKS”); (b) these Risks and dangers may be caused by my own actions or inactions, the actions or inactions of others, the environment and/or wildlife; (c) there may be OTHER RISKS AND SOCIAL AND ECONOMIC LOSSES either not known to me or not readily foreseeable at this time; and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND ALL RESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES I incur as a result of my participation or that of the minor in the Activity.

HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE Anchored Soul, Inc., its Paddle America Clubs, affiliated clubs and organizational affiliates, their respective ACA certified instructors, certified instructor employees, other participants, any sponsors, advertisers, and, if applicable, owners and lessors of premises on which the Activity takes place, (each considered one of the “RELEASEES” herein) FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, INJURIES, DAMAGE TO PROPERTY, OR OTHER DAMAGES ON MY ACCOUNT CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE “RELEASEES” OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS; AND I FURTHER AGREE that if, despite this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT I, or anyone on my behalf, makes a claim against any of the Releasees, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES from any litigation expenses, attorney fees, loss, liability, damage, or cost which any may incur as the result of such claim.

rev 5-17-2019

MINOR PARTICIPANT: I, THE MINOR PARTICIPANT, HAVE READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND HAVE SIGNED IT FREELY AND WITHOUT ANY INDUCEMENT OR ASSURANCE OF ANY NATURE AND INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT.

Minor Name(Required)

Minor Date of Birth(Required)

Minor Phone(Required)

Minor Address(Required)

Parental/Guardian Consent(Required)

PARENT OR GUARDIAN: I, THE MINOR’S PARENT AND/OR LEGAL GUARDIAN, UNDERSTAND THE NATURE OF PADDLESPORTS AND RELATED ACTIVITIES AND THE MINOR’S EXPERIENCE AND CAPABILITIES AND BELIEVE THE MINOR TO BE QUALIFIED, IN GOOD HEALTH, AND IN PROPER PHYSICAL CONDITION TO PARTICIPATE IN SUCH ACTIVITY. I HEREBY RELEASE, DISCHARGE, COVENANT NOT TO SUE, AND AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS EACH OF THE RELEASEES FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON THE MINOR’S ACCOUNT CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE “RELEASEES” OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS AND FURTHER AGREE THAT IF, DEPITE THIS RELEASE, I, THE MINOR, OR ANYONE ON THE MINOR’S BEHALF MAKES A CLAIM AGAINST ANY OF THE REALEASEES NAMED ABOVE, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES FROM ANY LITIGATION EXPENSES, ATTORNEY FEES, LOSS LIABILITY, DAMAGE, OR COST ANY MAY INCUR AS THE RESULT OF ANY SUCH CLAIM.

Name of Parent / Guardian (P/G)(Required)

P/G Date of Birth(Required)

P/G Address(Required)

P/G Email(Required)

P/G Phone(Required)

P/G Signature

P/G Date Signed(Required)

Term of Liability Waiver 1-Year

Date of Expiration of Liability Waiver

This will be today's date next year.

Draft Form 3 – Minor Release Waiver Version B

MINOR WAIVER & RELEASE OF LIABILITY Ver B

Step 1 of 2 - Minor Consent & Info

ANCHORED SOUL, INC. MINOR WAIVER & RELEASE OF LIABILITY

Minor Consent & Contact Info

Read Before Signing(Required)

IN CONSIDERATION of being permitted to participate in any way in the Anchored Soul, Inc. sports and recreation program and related activities (“Activities”) I, for myself, my personal representatives, assigns, heirs, and next of kin:

ACKNOWLEDGE, agree, and represent that I understand the nature of paddlesports and related activities and that I am
qualified, in good health, in proper physical condition to participate in such activity and willingly agree to comply with the stated and customary terms and conditions of participation. I further agree and warrant that if at any time I believe conditions to be unsafe, I will immediately discontinue further participation in the Activity. If I decide to leave early and not complete the trip as planned, I assume all risks inherent in my decision to leave.

FULLY UNDERSTAND that: (a) Paddlesports and related ACTIVITIES INVOLVE RISKS AND DANGERS OF DAMAGE TO PERSONAL PROPERTY AND SERIOUS BODILY INJURY, INCLUDING PERMANENT DISABILITY, PARALYSIS, AND DEATH (“RISKS”); (b) these Risks and dangers may be caused by my own actions or inactions, the actions or inactions of others, the environment and/or wildlife; (c) there may be OTHER RISKS AND SOCIAL AND ECONOMIC LOSSES either not known to me or not readily foreseeable at this time; and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND ALL RESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES I incur as a result of my participation or that of the minor in the Activity.

HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE Anchored Soul, Inc., its Paddle America Clubs, affiliated clubs and organizational affiliates, their respective ACA certified instructors, certified instructor employees, other participants, any sponsors, advertisers, and, if applicable, owners and lessors of premises on which the Activity takes place, (each considered one of the “RELEASEES” herein) FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, INJURIES, DAMAGE TO PROPERTY, OR OTHER DAMAGES ON MY ACCOUNT CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE “RELEASEES” OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS; AND I FURTHER AGREE that if, despite this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT I, or anyone on my behalf, makes a claim against any of the Releasees, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES from any litigation expenses, attorney fees, loss, liability, damage, or cost which any may incur as the result of such claim.

rev 5-17-2019

MINOR PARTICIPANT: I, THE MINOR PARTICIPANT, HAVE READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND HAVE SIGNED IT FREELY AND WITHOUT ANY INDUCEMENT OR ASSURANCE OF ANY NATURE AND INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT.

Minor Name(Required)

Minor Date of Birth(Required)

Minor Phone(Required)

Minor Address(Required)

Parental Consent, Contact & Signature

Parental/Guardian Consent(Required)

PARENT OR GUARDIAN: I, THE MINOR’S PARENT AND/OR LEGAL GUARDIAN, UNDERSTAND THE NATURE OF PADDLESPORTS AND RELATED ACTIVITIES AND THE MINOR’S EXPERIENCE AND CAPABILITIES AND BELIEVE THE MINOR TO BE QUALIFIED, IN GOOD HEALTH, AND IN PROPER PHYSICAL CONDITION TO PARTICIPATE IN SUCH ACTIVITY. I HEREBY RELEASE, DISCHARGE, COVENANT NOT TO SUE, AND AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS EACH OF THE RELEASEES FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON THE MINOR’S ACCOUNT CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE “RELEASEES” OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS AND FURTHER AGREE THAT IF, DEPITE THIS RELEASE, I, THE MINOR, OR ANYONE ON THE MINOR’S BEHALF MAKES A CLAIM AGAINST ANY OF THE REALEASEES NAMED ABOVE, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES FROM ANY LITIGATION EXPENSES, ATTORNEY FEES, LOSS LIABILITY, DAMAGE, OR COST ANY MAY INCUR AS THE RESULT OF ANY SUCH CLAIM.

Parent / Guardian(P/G) Name(Required)

P/G Date of Birth(Required)

P/G Address(Required)

P/G Email(Required)

P/G Phone(Required)

P/G Signature

P/G Date Signed(Required)

Term of Liability Waiver 1-Year

Date of Expiration of Liability Waiver

This will be today's date next year.

Draft Form 4 – Photo Release

Photo Release Form

Anchored Soul, Inc.

PHOTO RELEASE FORM

Is this form for a minor?

Yes, this form is for a minor. I am the the minor's authorized guardian.

No, this form is for myself and I am 18 or older.

Name of Minor(Required)

If this form is for a minor and you are the authorized parent/guardian, enter minor's name here.

First Last

Name of (parent) Authorized Guardian(Required)

Name should match signature below

First Last

Name(Required)

Name should match signature below

First Last

Photo Consent(Required)

I HEREBY GRANT AND AUTHORIZE Anchored Soul, Inc. the right to take, edit, alter, copy, exhibit, publish, distribute and make use of any and all pictures or video taken of me and/or my child/children to be used in and/or for legally promotional materials including, but not limited to, newsletters, flyers, posters, brochures, advertisements, fundraising letters, annual reports, press kits and submissions to journalists, websites, social networking sites and other print and digital communications, without payment or any other consideration. This authorization extends to all languages, media, formats and markets now known or hereafter devised. This authorization shall continue indefinitely, unless I otherwise revoke said authorization in writing.(Required)

Property Consent(Required)

I understand and agree that these materials shall become the property of Anchored Soul, Inc. and will not be returned.(Required)

Estate Consent(Required)

I hereby hold harmless, and release Anchored Soul, Inc. from all liability, petitions, and causes of action which I, my heirs, representative executors, administrators, or any other persons may make while acting on my behalf or on behalf of my estate.(Required)

Warrant of age & competency of signatory(Required)

I warrant that I am of age of consent (18 years or older) and that I am competent to contract in my own name. I have read this release before signing below and I fully understand the contents, meaning and impact of this release.(Required)

Signature

Date(Required)

Draft Form 5 – SUP Rental Release

SUP Rental Agreement

Step 1 of 5

ANCHORED SOUL, INC. SUP Rental Agreement

Rental Equipment Included: (add Quantities)

How many SUP's?

Hammerhead SUP(s)(Required)

Please enter a number from 1 to 20.

Dry Bag(s) - Additional $5

Please enter a number from 1 to 20.

(bag to keep items dry)

Each SUP Rental includes

1 SUP (Stand Up Paddleboard)
1 Adjustable 2-piece paddle
1 SUP Leash
1 PFD Belt

How many Kayak's?

Kayak(s)

Please enter a number from 1 to 20.

Each SUP Rental includes

1 kayak
1 kayak paddle
1 PFD Belt

Read Before Signing(Required)

The cost of the rental per SUP/Kayak and additional equipment is: 2 hours - $30.00, 4 hours - $50.00, 24 hours - $75.00

Rentals must be returned by the return date & time referenced below.

Failure to return all equipment on time will result in additional charge of $75.00 per SUP/Kayak rented (amount includes the cost of a full day rental. Any equipment rental over 24 hours late being returned will be deemed stolen, and by my signature below, I allow the additional rental fees, late charges and now forfeited deposit of $1,000.00 per SUP/Kayak to be charged to my card.

I release Anchored Soul, the owners, employees, assigns and heirs of any liability associated with this SUP rental.

I understand I am responsible for any damages that may occur to the SUP/Kayak and additional equipment during my rental period. Upon rental and return, the condition of the SUP and the paddle will be thoroughly inspected and documented. I understand there is a $200.00 replacement fee for each damaged or broken paddle, however, SUP/Kayak repair rates vary.

I understand that paddling is a sport that requires the ability to swim; that this SUP/Kayak is not a Coast Guard approved flotation device but that I am provided a Coast Guard approved PFD belt that is to be worn throughout the duration of the rental, that I have inspected this SUP/Kayak rental and understand that Anchored Soul is in no way liable for my use or misuse of said SUP rental.

I hereby state that I am at least 18 years of age. I am renting equipment from Anchored Soul and agree to these terms.

Customer Information

Name(Required)

Date of Birth(Required)

Height(Required)

Weight(Required)

*Height & weight required for each person renting to determine appropriate equipment size for renter(s).

Home Address(Required)

Vacation Address(Required)

If applicable

Email(Required)

Mobile Phone(Required)

Prior SUP Experience(Required)

Yes

No

Able to Swim(Required)

Yes

No

Emergency Information

Emergency Contact Name(Required)

Emergency Contact Phone(Required)

Rental Information:

Rental Hours(Required)

2 hours

4 hours

24 hours

Rental Date(Required)

Rental Time(Required)

:

Return Date(Required)

If Rental Hours is 24 hours, Day advances by 1 day.

Return Time(Required)

:

If 2 or 4 hour Rental Hours, add Rental Hours to Rental Time

Placeolder for Total Cost of Rental(Required)

Signature

Date Signed(Required)

Draft Form 1 – Adult Waiver

ADULT WAIVER & RELEASE OF LIABILITY

ANCHORED SOUL, INC. ADULT WAIVER & RELEASE OF LIABILITY

Draft Form 2 – Minor Release Waiver Version A

MINOR WAIVER & RELEASE OF LIABILITY ver A

ANCHORED SOUL, INC. MINOR WAIVER & RELEASE OF LIABILITY

Draft Form 3 – Minor Release Waiver Version B

MINOR WAIVER & RELEASE OF LIABILITY Ver B

ANCHORED SOUL, INC. MINOR WAIVER & RELEASE OF LIABILITY

Minor Consent & Contact Info

Parental Consent, Contact & Signature

Draft Form 4 – Photo Release

Photo Release Form

PHOTO RELEASE FORM

Draft Form 5 – SUP Rental Release

SUP Rental Agreement

ANCHORED SOUL, INC. SUP Rental Agreement

How many SUP's?

How many Kayak's?

Customer Information

Emergency Information

Rental Information:

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