Guest Application Form 2024-2025

Membership Application Form
Membership (Guest)

New to the sport and looking to try it out
Age*
CLUB NAME: Arizona Dragon Boat Association

TERM: 30 calendar days from the date of submitting the guest form

In consideration of being allowed to participate in any way in this sports activity, related events, and activities, the undersigned acknowledges, appreciates, and agrees that: 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 safety rules, equipment, and personal discipline may reduce this risk, the risk of serious injury or illness does exist;

I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others and assume full responsibility for my participation; and, I willingly agree to comply with the stated and customary terms and conditions for participation.

If 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, I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS UNITED STATES DRAGON BOAT FEDERATION; PADDLESPORT RISK MANAGEMENT, LLC; PACIFIC DRAGON BOAT ASSOCIATION; ARIZONA DRAGON BOAT ASSOCIATION ; 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 the event (“RELEASEES”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.

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

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.

I understand that I can paddle with any team for 30 days as a guest after which I must become a regular member to be covered under the club liability coverage.

Minor - Waiver and Release of Liability
CLUB NAME: Arizona Dragon Boat Association

TERM: 30 calendar days from the date of submitting the guest form

In consideration of being allowed to participate in any way in this sports activity, related events, and activities, the undersigned acknowledges, appreciates, and agrees that: 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 safety rules, equipment, and personal discipline may reduce this risk, the risk of serious injury or illness does exist;

I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others and assume full responsibility for my participation; and, I willingly agree to comply with the stated and customary terms and conditions for participation.

If 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, I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS UNITED STATES DRAGON BOAT FEDERATION; PADDLESPORT RISK MANAGEMENT, LLC; PACIFIC DRAGON BOAT ASSOCIATION; ARIZONA DRAGON BOAT ASSOCIATION; 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 the event (“RELEASEES”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.

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

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.

FOR PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT THE TIME OF REGISTRATION) This is to certify that I, as parent/legal guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above, of all the Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child's involvement or participation in these programs as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law. I further agree to the photographic and video release set forth above.
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Phone Number*
Parent/Guardian E-mail*
Parent/Guardian Accept Responsibility and Liability*

I accept full responsibility of the minor under the age of 18 years old as parent or guardian.

Accept Responsibility and Liability
Accept Responsibility and Liability*

I WILL COMPLY WITH USDBF, AZDBA, AND TEMPE TOWN LAKE RULES ON WEARING AN APPROPRIATELY FITTED, UNITED STATES COAST GUARD (USCG) APPROVED TYPE III PERSONAL FLOATATION DEVICE (PFD) ON AZDBA DRAGON BOATS.I WILL ABIDE BY THE PERSONAL FLOATATION DEVICE (PFD) RULE NOT TO WEAR ANY INFLATABLE PERSONAL FLOATATION DEVICE (PFD) WHILE ON AZDBA DRAGON BOATS.BY COMPLETING THIS APPLICATION AS REQUIRED AND ALL INFORMATION IS TRUTHFUL. I HAVE READ AND UNDERSTAND THE WAIVER AND LIABILITY AGREEMENT AND ASSUMPTION OF THE RISK. BY CLICKING THE SUBMIT APPLICATION ANY PAYING. I UNDERSTAND THAT I AM WAIVING CERTAIN LEGAL RIGHTS INCLUDING THE RIGHT TO SUE AS OUTLINE IN THE WAIVER.” to “BY COMPLETING THIS APPLICATION, I CERTIFY THAT ALL INFORMATION PROVIDED IS TRUTHFUL, 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 AGREEING TO IT, AND AGREE TO IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
The Arizona Dragon Boat Association is a 501(c)(3) nonprofit organization whose primary mission and purpose is to promote the sport of dragon boating through community involvement and education for the state of Arizona. For more information, please visit us at www.azdba.org or e-mail info@azdba.org.
Duplicate Check
Date

MonthDayYearHourMinutesAM/PM Option
Name*

First NameLast Name
Address*

Street Address

CityState / Province

Postal / Zip Code
Phone Number*
E-mail*

Confirmation Email
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
Deciding which Practice*
Must choose an option
Math Challenge *
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Membership Application Form

Membership (Guest)