Michiana Paddlefest!
(June 29, 2008) WAIVER
Read before signing.
In consideration of being allowed to participate in
any way in the UNITED STATES CANOE ASSOCIATION athletic sports program,
related events and activities, the undersigned acknowledges, appreciates, and
agrees that:
1.
The
risk of injury from the activities involved in this program is significant,
including the potential for permanent paralysis and death, and while particular
rules, equipment, and personal discipline may reduce this risk, the risk of
serious injury does exist; and,
2.
I
KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE
RELEASEES or other and assume full responsibility for my participation; and,
3.
I
willingly agree to comply with the stated and customary terms and conditions
for participation. If, however, I
observe any unusual significant hazard during my presence or
participation, I will remove myself
from participation and bring such to the attention of the nearest official
immediately; and,
4.
I,
for myself and on behalf of my heirs, assigns, personal representatives and
next of kin, HEREBY RELEASE AND HOLD HARMLESS the UNITED STATES CANOE ASSOCIATION,
and
SOUTH BEND PADDLEFEST ,their
officers, officials, agents, and/or
employees, other participants, sponsoring agencies, sponsors,
advertisers, and, if applicable, owners and lessors of premises used to conduct
the event ("RELEASEES"), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH,
or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF
THE RELEASEES OR OTHERWISE.
I HAVE READ THIS RELEASE OF
LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS,
UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT
FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
X_______________________________________DATE
SIGNED:____________________
(Participant's Signature)
FOR PARTICIPANTS OF MINORITY AGE
(UNDER AGE 18 AT THE TIME OF
REGISTRATION)
This is to certify that
I, as parent/guardian with legal responsibility for this participant, do consent
and agree to his/her release as provided above, of all the Releasees, and, for
myself, my heirs, assigns, and next of kin,
I release and agree to indemnify and hold harmless the Releasees from
any and all liabilities incident to my minor child's involvement or
participation in these programs as provided above, EVEN IF ARISING FROM THE
NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law.
X___________________________________ _________________________________
(Parent/Guardian
Signature) (Emergency phone number)