2022 Boston One Registration & Waiver

2022 Boston One Registration & Waiver
Contact Information
Name *

First Name Last Name
Email *
example@example.com
Date of Birth *

Month Day Year
Date
Phone Number *

Area Code Phone Number
Gender *

Female Male Other
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Do you have any health conditions or injuries we should be aware of? If yes, please discuss with a head coach (Lily Ting or Catherine Lin) before participating in your first Boston One activity. *

Yes No
Emergency Contact *

First Name Last Name
Emergency Contact Phone Number *

Area Code Phone Number
Proof of Vaccination

We require proof of vaccination for participation. Please upload a picture of the front of your vaccination card. We will be requiring boosters in 2022, if you have proof of vaccination booster please upload if not already shown on the original card.
Upload using the link below:

Vaccine/Booster Proof Upload Link
Payment Info for 2022 Water Season

Venmo @boston1dboat
- $128 for U24 (Under 24 years old)
- $160 for Regular Membership
- $20 for 2-class pass
- Add-On: $50 for access to OC-1/Canoe (Allston)
Boston One Waiver

For participating in Boston One sanctioned activities.
Fill out the waiver with the link below:

Boston One Waiver Link
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. *

Yes
Inner City Weightlifting (ICW) Waiver

For participating in ICW events during the offseason.
Fill out the waiver with the link below:

ICW Waiver Link
ICW recommends that participants get physician approval before participating in the activities and using the facilities offered by ICW. In the case of emergency, I authorize ICW personnel to seek medical treatment as necessary to ensure my well-being, and hereby consent to any and all such treatment. *

Yes
I, the undersigned participant, fully understand that participation in InnerCity Weightlifting (ICW) fitness programs may include actions or tasks which may be hazardous to my health. By signing below I voluntarily: (1)Assume any and all risk of harm or injury which might occur due to my participation in this fitness program; (2)Release ICW and its agents from all liability, costs and damages which might arise from my participation in the ICW fitness program; (3) Certify that my participation in the program, and signing of this waiver and release is knowing and voluntary. * *

Yes
E-Signature
By signing, I acknowledge that I have read and understand this form and its waivers/releases of liability: *

Clear
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2022 Boston One Registration & Waiver

Contact Information

Proof of Vaccination

Boston One Waiver

Inner City Weightlifting (ICW) Waiver

E-Signature