Release Of Liability Waiver

My role*

CLUB MEMBER

Your Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState

Zip Code

Phone Number*

Area CodePhone Number

Email*

example@example.com

Date of Birth*

Date

Emergency Contact*

First NameLast Name

Emergency Contact Phone*

Area CodePhone Number

Are you under 18 at time of signing.*

NOYES

In consideration of being allowed to participate in any way in the United States Dragon Boat Federation and its affiliates athletic sports program, 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, I willingly agree to comply with the stated and customary terms and conditions for participation. Any use of alcohol and/or mind-altering drugs is strictly prohibited prior to and during Club practices and races and may result in not being a participant in the practice or race.

If I observe any unusual or significant hazard during my presence or participation I will remove myself from the activity and bring such hazard to the attention of the nearest coach or team leader immediately. I verify that I will only participate in club activities, on and off water, while in good physical and mental health and that I will not consume any mind altering drugs or alcohol prior to or during club activities that may impede my ability to participate putting myself or others at risk. I will inform the coach or team leader at the beginning of any on water activity if I am not feeling well I will remove myself from the activity. I confirm I do not have any medical conditions that would pose a serious risk to myself or others while participating in this sport, and if I have a disability that this has been fully disclosed to the coaches, captains and/or officials before participating.

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; BALTIMORE DRAGON BOAT CLUB; OASIS MARINA LLC; 321 E CROMWELL STREET, LLC; JOHNS HOPKINS UNIVERSITY; and their respective officers & directors, officials, agents, and/or employees, other participants, sponsoring agencies, municipalities, commissions, sponsors, advertisers, volunteers, coaches, steerers, and, if applicable, owners and lessors of premises and equipment 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 during club activities, and hereby freely agree to allow without restriction all uses of such photos and videos in the reporting 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.

Signed by*

First NameLast Name

Signature*

Date*

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.

Name of Parent/ Guardian*

First NameLast Name

Phone Number*

Area CodePhone Number

Relationship to Participant*

Signature of Parent/Legal Guardian*

RELEASE OF LIABILITY WAIVER