Brick City Rowing

Registration & Waiver Form

Winter 2023-24

REGISTRATION FORM FOR YOUTH PROGRAMMING

WITH BRICK CITY ROWING.

 (YOUTH MUST BE NEWARK, NJ RESIDENTS)

 #NewarkStrong #BrickCityRowing #HoldTheLine

Locations: 

Newark YMCA

27 Rector Street Newark, NJ 07102

 

St. Benedict's Preparatory School

520 Dr. Martin Luther King Jr. Blvd Newark, NJ 07102

  

Kearny Boathouse

927 Passaic Avenue Kearny, NJ 07032

In consideration of my participation in Brick City Rowing activities, I agree as follows:

 

1. I will follow the instructions of the crew leader I am assigned to, and if I have a youth (minor) accompanying me, I will ensure they will follow instructions as well.
2. I will work to understand the proper operation of any equipment I choose to use. I understand that my participation in Brick City Rowing activities may involve sustained strenuous physical activity.
3. I acknowledge that I am in good health and that I am aware of no physical ailment or condition which will limit and or interfere with my ability to participate, under either predicted or emergency conditions.
4. I understand that the BCR programming may involve dangerous activities or situations. I agree that I am participating at my own risk and I acknowledge that Brick City Rowing has made no warranty or representation, expressed or implied, regarding the safety of conducting this programming.
5. I understand that I am not an employee of Brick City Rowing, and that I will receive no compensation or other employee related benefits from Brick City Rowing (nor will any youth that accompany me).
6. On behalf of myself, my heirs, successors and assigns, I hereby forever release, indemnify, and hold Brick City Rowing, its officers, directors, employees, and agents harmless from and against any and all claims, liabilities, losses, damages, costs, and expenses arising from or in any way related to my services as a volunteer. I intened this release to be effective, regardless of whether the claim is asserted in negligence, strict liability in tort, or other theory of recovery.

7.  WATER RELATED ACTIVITIES: If I (or we) am/are in or near a body of water or on watercraft in connection with the Activity, I also understand the risks related to waterbodies and watercraft, including but not limited to risks related to swimming proficiency, water movement, (including risks related to exertion), collisions, water temperature (including hypothermia), tides, exposure, watercraft operation, equipment failure, and rescue efforts.

By signing this waiver, you are acknowledging your ability to swim and or lack of ability to swim and that you will only partake in any activities that you are personally comfortable participating in.

8.  MEDIA AUTHORIZATION: I grant Brick City Rowing permission to take photographs and video recordings of me (and my child) and to display, publish or otherwise use any photographs, video recording, or any other media associated with the activity, including any media which contains my (and my child's) image or likeness, for BCR's purposes. I also consent to the use of my (and my child's) name in connection with such images. I release, indemnify and hold harmless Brick City Rowing and its officers, directors, agents and employees from any and all claims which may result at any time by reason of the use of my (and my child's) image and name, including, without limitation, claims of privacy. My (child) heirs, executors, administrators and assigns shall be bound by this consent and release.

9. CORONAVIRUS/ COVID-19 Acknowledgement: The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization, the Center For Disease Control and Prevention, and by State and Health officials. COVID-19 is reported to be extremely contagious. The state of medical knowledge regarding COVID-19 is evolving, but the virus is believed to spread from person-to-person contact and/or by contact with contaminated surfaces and objects, and even possibly in the air.

People reportedly can be infected and show no symptoms and therefore spread the disease. Evidence has shown that COVID-19 can cause serious and potentially life threatening illness and even death. The government and state health officials have set recommendations, guidelines, and some prohibitions which Brick City Rowing adheres to. Brick City Rowing cannot prevent you or your family from becoming exposed to, contracting, or spreading COVID-19 while voluntarily participating in the physical components of the Riverfront Cleanup.

It is not possible to prevent against the presence of the disease. Therefore, if you choose to participate in the Riverfront Cleanup you may be exposing yourself to and/or increasing your risk of contracting or spreading COVID-19.

I acknowledge that I have not experienced symptoms that of fever, fatigue, difficulty in breathing, or dry cough or exhibiting any other symptoms relating to COVID-19 or any communicable disease within the last 14 days. I have not, nor any member(s) of my household, traveled by sea or by air, internationally within the past 30 days.

I did not, nor any member of my household, visit any area within the United States that was reported to be highly affected by COVID-19, in the last 14 days. I have not been, nor any member(s) of my household, diagnosed to be infected of COVID-19 virus within the last 14 days.

10. ASSUMPTION OF RISK: I have read and understand the above warnings concerning the Learn to Rows and possible exposure to COVID-19. I hereby choose to accept the risk of being exposed to and/or contracting COVID-19 for myself and/or my family in order to voluntarily participate in the activities.

By signing below, I acknowledge that I have thoroughly read and understand this form and that the statements I have made in it are all true, and that I am at least 18 years of age or, if I am not 18 years of age, the signature and consent of my parent or legal guardian is included below.

PARENT/GUARDIAN RELEASE: If applicable, I acknowledge that I make this agreement individually and on behalf of the minor child(ren) to induce Brick City Rowing to allow the minor child(ren) to participate in physical, on land, and on the water (Passaic River) activities.

I have knowingly reviewed this liability waiver and have signed as the parent and or guardian of the student athlete(s) indicated on this form.