Release Of Liability Waiver

SALISH SEA VOYAGING SOCIETY

HO'OKUI COMMUNITY VOYAGING PROGRAM 2024
RELEASE OF LIABILITY WAIVER
What event are you participating in?*

Mentors to Mentors ProgramEvening Canoe ExcursionsYouth Voyaging Session 1, 2,3,4,5,6, or 7Family Voyaging Session 1,2 or3Teen Camp - Session 1 or 2Island Rec Canoe Program
Start date of session/event?*
What session are you participating in?
Applicable for Youth Voyaging; Family Voyaging and Teen Camp
Participant Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*

Area CodePhone Number
Email*
example@example.com
Emergency Contact:*

First NameLast Name
Emergency Contact Phone:*

Area CodePhone Number
Are you under 18 yrs old?:*

YesNo
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 illness, permanent paralysis and death; and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury, illness or death 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.

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. I understand that consumption of alchoholic beverages or mind altering drugs or medications that may impair my ability to respond to directions is prohibited prior to or before the event. I also confirm I am in good physical and methal health and do not have any medical conditions that may be adversly affected by physical exersion during the event.

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; SALISH SEA VOYAGING SOCIETY; PORT OF FRIDAY HARBOR; 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/ special event (“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.

By signing below I acknowledge 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.
Signature*

Clear
Signed by*

First NameLast Name
Date*

MonthDayYear
Date
PARTICIPANTS OF MINOR AGE (UNDER AGE 18) - A PARENT/LEGAL GUARDIAN MUST COMPLETE AND SIGN BELOW.

This is to certify that I, as parent/legal guardian with legal responsibility for this PARTICIPANT, I have read the waiver of liability to the minor participant and confirm they fully understand its contents and therefore, I do consent and agree to his/her Waiver, Release and Indemnification, 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 in the paddling program as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law.
Participant Date of Birth*

MonthDayYear
Name of Parent/ Guardian*

First NameLast Name
Phone Number*

Area CodePhone Number
Relationship to Participant*
Signature of Guardian*

Clear
DATE SIGNED*
Should be Empty:

SALISH SEA VOYAGING SOCIETY

RELEASE OF LIABILITY WAIVER