2024 BBOP CHALLENGE ESCORT BOAT / SUPPORT PERSONNEL REGISTRATION

ESCORT BOAT / SUPPORT PERSONNEL REGISTRATION

AND AMATEUR ATHLETIC RELEASE OF LIABILITY WAIVER
This form to be completed for one participant only. Please complete all parts. Participant role: (Check all that apply)*

Escort Boat OwnerEscort Boat OperatorTeam Change ManagerDeckhandOther
Escort boat name
Boat owner's name
Boat registration number (e.g. WN3456RU)
Boat operator's name
Boat type
Boat length
Race Canoe number
Mobile phone # to be used as alternate communication
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 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 THE NEGLIGENCE OF THE RELEASEES or others and assume full responsibility for my participation; and, | 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. I verify that I will only participate in this event while in good health and that I will not consume any mind altering drugs or alcohol prior to or during the event that may impede my ability to participate putting myself or others at risk. I will inform the club official at the beginning of any on water activity if I am not feeling well or have a medical condition and remove myself from the activity.
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; BELLINGHAM BAY OUTRIGGER PADDLERS; CITY OF BELLINGHAM, PNWORCA; 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 or special events ("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 club activity or race, and/or in the promotion of the club, 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.

Complete Participant information below:
Name*
Phone*
Email*
example@example.com
Address*

Address

Street Address Line 2

CityState

Postal / Zip Code
Zip Code*
Signature

Clear
Date

MonthDayYear
Date
FOR PARTICIPANTS OF MINOR 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.
ParentLegal Guardian Name
Minor DOB
Address

Address

Street Address Line 2

CityState

Postal / Zip Code
Zip Code
Emergency Contact Name
Emergency Contact phone #
Signature of Parent/Legal Guardian

Clear
Date

MonthDayYear
Date
Should be Empty:

ESCORT BOAT / SUPPORT PERSONNEL REGISTRATION

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.