Release Of Liability Waiver

Your role*

Club MemberGuest PaddlerNon paddler volunteer

Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState

Zip Code

Birth Date*

MonthDayYear

Phone Number*

Area CodePhone Number

Email*

example@example.com

Emergency Contact*

First NameLast Name

Emergency Contact Phone*

Area CodePhone Number

In consideration for being allowed to participate in the activities with GREATER CHICAGO DRAGON BOAT CLUB, I, the undersigned PARTICIPANT:

1. Acknowledge and agree that water sports is an inherently dangerous activity that exposes participants to risks, both known and unknow, of harm and serious injury, including but not limited to permanent injury, sickness and death, and severe social and economic loss, which might result not only from my own action, inaction or negligence, but the action, inaction or negligence of others, wind and water conditions, or the condition of any equipment used, and that there may be other risks not known to us or not reasonably foreseeable at this time.

2. Without limitation to the foregoing, acknowledge and agree that said risks include, but are not limited to, the condition of vessels, swamping and turning over, the transport of vessels to/from the paddling location, currents, waves, winds, and distance from shore that may limit the ability of paddlers and medical/emergency personnel to timely respond to a paddling accident or personal health condition. Situations both known and unknown may arise.

3. Represents that I can swim and/or survival float and am able to self-rescue and re-enter a water vessel without assistance in any depth of water.

4. Agrees that prior to participating in water and boating activities, I will inspect the vessel and equipment to be used, and if I have reason to believe that anything is unsafe, including but not limited to wind and water conditions, I will immediately advise the person in charge of such condition and refuse to participate.

5. Agrees that if, while participating in the paddling session, I have reason to believe that I am/will be exposed to risk of harm beyond my tolerance, I will immediately inform the steersperson and, to the extent possible, remove myself from that activity.

6. Will not participate while under the influence of alcohol or drugs, or if I have any physical, medical or mental condition that may impair my ability to understand instructions or to participate without creating risk to myself or others.

7. I assume all the foregoing risks, both known and unknown, and accept personal responsibility for the harm, damages and loss following such injury, permanent disability or death.

WAIVER AND RELEASE.

PARTICIPANT, including their heirs, next of kin, assigns and estate hereby waives any and all past, present and future claims against, and releases and agrees not to sue, GREATER CHICAGO DRAGON BOAT CLUB; PADDLESPORT RISK MANAGEMENT, LLC; their insurers, members, directors, agents, and other participants, and any other persons or entities associated therewith (all herein referred to as “Releasees”), from all demands, claims, losses and damages on account of injury, including but not limited to death or damage to property, caused or alleged to be caused, in whole or in part, by the negligence of any of the Releasees to the extent permitted by law.

INDEMNIFICATION.

PARTICIPANT agrees to indemnify, defend and hold harmless the Releasees from and against all claims , losses, damages, causes of action, judgments, costs and expenses, including but not limited to attorneys’ fees, and all other liabilities arising out of or relating to PARTICIPANT’S participation in the paddling program and the use of the water craft and other property of GREATER CHICAGO DRAGON BOAT CLUB; PADDLESPORT RISK MANAGEMENT, LLC even if caused by the negligence of any or all of the Releasees.

SEVERABILITY, JURISDICTION AND LAW.

This agreement is intended to be as broad and inclusive as permitted by law. If any part of this agreement is held to be invalid, the balance thereof shall remain valid and in full force and effect; and, if necessary, shall be modified to further its intent to waive rights against, and release and indemnify the Releasees, against all claims and liabilities as may be permitted by law.

BY SIGNING THIS AGREEMENT, I, the undersigned PARTICIPANT, state and affirm that I was given the opportunity to read this Waiver, Release and Indemnification in full; I have done so; I understand its terms; I understand that by signing it I may be giving up significant legal rights that I otherwise have; I sign it freely, voluntarily, and without any other representations made to me.

Participant Signature*

Signed by*

First NameLast Name

Date*

Date

Are you UNDER 18 years of age at the time of signing?*

NOYES

A PARENT/LEGAL GUARDIAN MUST COMPLETE AND SIGN BELOW IF PARTICIPANT IS UNDER 18 YEARS OF AGE

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