BLRC Release of Liability 2024

I First Name*Last Name* hereby affirm that I am voluntarily participating in rowing activities ("Activity") entirely at my own risk.

IN CONSIDERATION of being given the opportunity to participate in any Brainerd Lakes Rowing Club activity, including but not limited to scheduled, supervised club activities, and registered regattas, I, for myself, my personal representatives, assigns, heirs, and next of kin, understand, acknowledge, and agree to the following:

1. I ACKNOWLEDGE, agree and represent that I understand the nature of rowing activities (“Activity”), both on water and land based, and that I am qualified, in good health, and in proper physical condition to participate in such Activity.

2. I FULLY UNDERSTAND that:

(a.) ROWING ACTIVITIES INVOLVE RISKS AND DANGERS of serious bodily injury, including but not limited to permanent disability, paralysis, and death (“Risks”);

(b.) these Risks and dangers may be caused by my own actions, or inactions, the actions or inactions of others participating in the Activity, the condition in which the Activity takes place, the condition of the equipment used in the Activity, weather, environmental, or other conditions or hazards, or the negligence or errors of judgment of the Release named below;

(c.) there may be other risks and social and economic losses either not known to me or not readily foreseeable at this time; and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS, AND ANY OTHER RISKS THAT MAY BE INVOLVED IN THE ACTIVITY, AND ALL RESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES I incur as a result of my participation in the Activity.

3. I AGREE AND WARRANT that I will examine and inspect each Activity in which I
take part as a member of Brainerd Lakes Rowing Club and that, if I observe any condition which I consider to be unacceptably hazardous or dangerous, I will notify the proper authority in charge of the Activity and will refuse to take part in the Activity until the condition has been corrected to my satisfaction.

4. I HEREBY RELEASE, discharge, and covenant not to sue Brainerd Lakes Rowing Club, their administrators, directors, agents, officers, volunteers, and employees, other participating regatta organizers, any sponsors, advertisers, and if applicable, owners and lessors of premises, on which the Activity takes place (each considered one of the Releasees herein) from all liability, claims, demands, losses, or damages on my account caused or alleged to be caused in whole or in part by the negligence of the Releasee or otherwise, including but not limited to negligent rescue operations; and I further agree that if, despite this release and waiver of liability, assumption of risk, and indemnity agreement, I, or anyone on my behalf, makes a claim against any of the Releasees, I WILL INDEMNIFY, SAVE AND HOLD HARMLESS each of the Releasees from any litigation expenses, attorney fees, loss, liability, damage, or cost that any may incur as a result of such claim, to the fullest extent permitted by law.

5. I agree to be familiar with, comply with, and be bound by the Rules and Regulations of Brainerd Lakes Rowing Club, including but not limited to the USRowing Rules of Rowing (www.usrowing.org), the World Anti-Doping Code (www.usada.org), and the codes, rules, policies and procedures of the U.S. Center for SafeSport (the “SafeSport Rules,” www.SafeSport.org), including with respect to the exclusive authority and jurisdiction of the U.S. Center for SafeSport to investigate and resolve reported sexual misconduct and the discretionary authority to investigate and resolve reports of other misconduct. I further agree that arbitration pursuant to the binding arbitration provisions of the SafeSport Rules shall be the exclusive method to resolve any dispute over any disciplinary action taken by Brainerd Lakes Rowing Club or USRowing as a result of a USCSS investigation (the “Arbitration Procedure”).

I have read this agreement, fully understand its terms, understand that I have given up substantial rights by signing it and have signed it freely and without any inducement or assurance of any nature and intend it to be a complete and unconditional release of all liability to the fullest extent permitted by law and agree that if any portion of this agreement is held to be invalid, the balance, notwithstanding, shall continue in full force and effect.

Athlete Signature, agreeing to above*

Date Signed*

Athlete Name*

First NameMiddle NameLast Name

Nickname

Birthdate*

MonthDayYear

Age

Gender*

malefemaleprefer not to answer

Athlete Address*

Street Address

Street Address Line 2

CityState

Zip Code

Athlete Cell Phone*

Please enter a valid phone number.

Athlete Email*

example@example.com

Have you ever rowed?*

YESNO

Briefly tell us your experience:

We will have personal flotation devices.

Please check the line that best reflects your swimming ability:*

I can confidently swim 50 yards and tread water for 10 minutesI am an average swimmerI am uncomfortable in the waterI do not know how to swim

Emergency Contact Name*

Emergency Contact Phone*

Please enter a valid phone number.

Emergency Contact Relationship to You*

Please list any medical conditions or medications your coach should knout about:

Athlete permission to use images taken for Brainerd Lakes Rowing social media, website, and other publicity for the Club:

Date Signed

Date

Brainerd Lakes Rowing Club uses GroupMe for day-to-day contact with athletes. It will be where communications regarding practice changes, etc., will be sent.

Set up a GroupMe account here: https://groupme.com/en-US/

For insurance requirements, starting in 2024 Brainerd Lakes Rowing Club requires all athletes to become US Rowing members.

Set up a USRowing account here: https://membership.usrowing.org/individual/join

USRowing member number*

AND I, the minor’s parent and/or legal guardian, understand the nature of rowing activities and the minor’s experience and capabilities and believe the minor to be qualified to participate in such activity. I hereby release, discharge, covenant not to sue, and AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS each of the Releasees from all liability, claims, demands, losses, or damages on the minor’s account caused or alleged to be caused in whole or part by the negligence of the Releasees or otherwise, including but not limited to negligent rescue operations, and further agree that if, despite this release, I, the minor, or anyone on the minor’s behalf makes a claim against any of the above Releasee, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS each of the Releasees from any litigation expenses, attorney fees, loss, liability, damage, or cost any may incur as the result of any such claim, to the fullest extent permitted by law. I agree to be bound by the Arbitration Procedure with respect to any dispute over any disciplinary action taken by Brainerd Lakes Rowing Club or USRowing as a result of a USCSS investigation.

Parent Signature, agreeing to above

Date Signed

Date

Parent Name

First NameLast Name

Parent Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Parent Cell Phone

Please enter a valid phone number.

Parent Email

example@example.com

Parent permission to use images taken for Brainerd Lakes Rowing social media, website, and other publicity for the Club:

Date Signed

Date

Brainerd Lakes Rowing Club 2024

Participant Section

We will have personal flotation devices.

Parental Consent Section