Western Intercollegiate Rowing Association Championships

  • Apr 25, 2015 To Apr 26, 2015
  • sprint
  • Lake Natoma
  • Rancho Cordova, CA (USA)
  • Hosted By: Sacramento State Aquatic Center/Capital
  • USRowing Registered (Self-Insured regatta)

 

RELEASE OF LIABILITY -- READ BEFORE SIGNING

 

In consideration of being allowed to participate in any way with (Associate Students Inc. of California State University, Sacramento dba Sacramento State Aquatic Center), its related events and activities, including the Western Intercollegiate Rowing Championships taking place at Lake Natoma, Folsom, California I,    ________________________________________ , the undersigned, acknowledge, appreciate, and agree that:

 

1.     The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular skills, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and,

 

2.     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,

 

3.     I willingly agree to comply with the stated and customary terms and conditions for participation.  If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the Company immediately;  and,

 

4.     I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY  RELEASE, INDEMNIFY, AND HOLD HARMLESS (Name of Organization) their officers,  officials, agents and/or employees, volunteers, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessor’s of premises used for the activity ("Releasees"), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property associated with my presence or participation, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

 

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.

 

x________________________________ Age:       __              Date Signed: ________________                           

  PARTICIPANT'S SIGNATURE

 

FOR PARENTS/GUARDIANS OF PARTICIPANTS OF MINORITY AGE

(UNDER AGE 18 AT TIME OF REGISTRATION)

 

This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releasee’s, and, for myself, my child and our heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasee’s 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.

 

 

x_________________________  ________________________      Date Signed: ___________                           

PARENT/GUARDIAN'S SIGNATURE      (print name)

 

This is a sample waiver & release form recommended by K&K Insurance Group.  It is advisable that the form should be reviewed by your legal representative.