Release Of Liability Waiver

RELEASE OF LIABILITY WAIVER
My role
Are you under 18 years old?
If under the age of 18 you and a parent or legal guardian must read and sign before you may participate in any activities with KP Dragons
Guest Participation Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Your Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number

Area CodePhone Number
Email
example@example.com
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Emergency Contact

First NameLast Name
Emergency Contact Phone

Area CodePhone Number
Do you know how to swim?. Ability to swim is not prerequisite to participation. It is for safety preparation.
In consideration of being allowed to participate in any way in this sports activity, related events and activities, the undersigned appreciates and acknowledges:

1) I understand the risk of injury or illness from the activities involved in this sport 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 or illness does exist; and, I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM ALL NEGLIGENCE OF THE RELEASEES or others and assume full responsibility for my participation; and,

2) I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual or significant hazard during my presence or participation, I will remove myself from participation and bring such hazard to the attention of the nearest official immediately; and,

3) I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS PADDLESPORT RISK MANAGEMENT, LLC; KP DRAGONS, and THE CITY OF OAKLAND their officers & directors, officials, agents,and/or employees, other participants, sponsoring agencies, commissions, sponsors, advertisers, volunteers, coaches, steerers, and, if applicable, owners and lessors of premises used to conduct club activities (“RELEASEES”), WITH RESPECT TO ANY AND ALL INJURY, ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.

4) I also acknowledge that photographs and video may be taken of me in my participation in, and attendance at this event or club activity, and hereby freely agree to allow without restriction all uses of such photos and videos in the reporting of club activities, special race, and/or in the promotion of such, its location, other sporting events, sport in general, and/or related purposes.
I, the undersigned, DECLARE THAT 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.

I acknowledge that I have read the KP Dragons Boat Safety Briefing and Paddler Guidelines and agree to abide by them. This agreement is binding as long as I am paddling with KP Dragons, as a guest or as an active member.
Member Signature
Signed by

First NameLast Name
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Name of Parent/ Guardian

First NameLast Name
Phone Number

Area CodePhone Number
Relationship to Participant
As parent/legal guardian of the minor participant I confirm that I have personally informed the minor of the contents of the waiver and safety briefing, and by my signature below, confirm that the minor fully understands that they are giving up substantial rights in order to participate in any activities with KP Dragons.
Signature of Parent/Legal Guardian
Should be Empty:

RELEASE OF LIABILITY WAIVER