VIRGINIA KAYAK TRAIL, LLC (VKT) WAIVER AND RELEASE OF LIABILITY AGREEMENT
Competitor's Age
*
I will be less than 16 years of age on the day of competition. (If you are under 16 you must have an adult supervisor accompany you while on the water)
I am 16 years of age or older
Affirmation's
*
I have read this agreement and fully understand its terms
I understand that I have given up substantial rights by agreeing to its terms and conditions.
I freely and voluntarily agree to the above terms and conditions without any inducement.
I am a 2021 KBF member?
*
Yes
No
Participant's Electronic Signature
My electronic signature (typed legal First and Last name followed by the typed Date) is the legally binding equivalent to my handwritten signature. My electronic signature has the same validity and meaning as my handwritten signature. I will not, at any time in the future, repudiate the meaning of my electronic signature or claim that my signature is not legally binding.
Name
*
First Name
Last Name
Adult Guardian
*
First Name
Last Name
Adult Guardian Phone
*
-
Area Code
Phone Number
Signing Date
*
-
Month
-
Day
Year
Date
I understand that checking this box constitutes a legal signature confirming my agreement
*
I agree
Cell Phone Number
*
-
Area Code
Phone Number
PayPal Email
*
example@example.com
Contact Email
*
example@example.com
Submit
Should be Empty: