Release Of Liability Waiver

I am a*

Monumental OC6 Participant 06/08/2024Minimental Small Boat Participant 10/13/2024Round Robin OC2 ParticipantCLUB MEMBERGUEST PADDLERVOLUNTEER

Name of team you are racing with.*

If no team enter N/A

Your Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState

Zip Code

Phone Number*

Area CodePhone Number

Email*

example@example.com

Birth Date*

MonthDayYear

Emergency Contact *

First NameLast Name

Emergency Contact Phone*

Area CodePhone Number

Relationship to you*

In consideration of being allowed to participate in any way in this sports activity, related events and activities with NATIONAL CAPITAL AREA WOMENS PADDLING ASSOCIATION (NCAWPA) , the undersigned appreciates and acknowledges:

1) I understant 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 ALL NEGLIGENCE OF THE RELEASEES or others and assume full responsibility for my participation; and,

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; and,

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; NATIONAL CAPITAL AREA WOMENS PADDLING ASSOCIATION; ANACOSTIA COMMUNITY BOATHOUSE ASSOCIATION; GOVERNMENT OF THE DISTRICT OF COLUMBIA OFFICE OF THE DEPUTY MAYOR FOR PLANNING AND ECONOMIC DEVELOPEMENT; 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.

5) I warrant that I am in good physcial condition and can swim/self-float in the event of a capsize on water. I will abstain from consumption of alchohol or mind altering drugs prior and during the event and that I have no medical or physcial conditions that could greatly reduce my abiltiy to participant safely or be a hazard for others.

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 - (cursor will act like a pen)*

Signed by*

First NameLast Name

Are you under 18 years old at the time of signing this waiver?

NOYES

UNDER 18 YEARS OF AGE A PARENT OR LEGAL GUARDIAN MUST SIGN BELOW:

I acknowledge that I am the parent/legal guardian of the participant and as such ASSUME ALL RISKS AND FULLY UNDERSTAND THAT AS PARENT OR LEGAL GUARDIAN OF PARTICIPANT I WAIVE ALL RIGHTS TO SUE ON BEHALF OF THE AFOREMENTIONED MINOR. I ACKNOWLEDGE THAT I HAVE EXPLAINED THIS WAIVER TO THE MINOR AND THE MINOR AGREES TO PARTICIPATE AND AGREES TO THE TERMS AND CONDITIONS IN THE WAIVER.

Name of Parent/ Guardian*

First NameLast Name

Phone Number*

Area CodePhone Number

Relationship to Participant*

Signature of Parent/Legal Guardian*

Date*

RELEASE OF LIABILITY WAIVER