Stetson Fall Classic

  • Hosted By: Stetson University Crew

Please print out and complete the following waiver for each competitor. Wiavers will be collected at registration the morning of the regatta before bow numbers can be assigned. 

 

Regatta Risk Acknowledgement, Informed Consent and Liability Waiver

 

Participant Name:

 

Date of Birth:

 

 

Regatta Name:

 

Date(s) of Regatta:

 

 

 

Assumption of Risks:

I understand that this regatta; and the physical activities, flexibility, and aerobic exercise associated with it, place unusual demands on the body.  Due to the nature of rowing activities, I understand that participation in these activities could involve risk of physical injury, and despite safety precautions, Stetson University cannot guarantee that a participant will not be injured, as all risks cannot be prevented.  Risks include but are not limited to: slips/trips/falls; impact or collision with other participants, structures, boats, or rowing equipment; exposure to outside environment; weather conditions; water use and slippery areas; uneven surfaces; etc.  Risks could include injuries such as, but not limited to: strains/sprains, fractures, bruises, cuts/scrapes, punctures; concussion; loss of consciousness; exhaustion; heat stroke; eye injuries; spinal injuries; neck, face and head injuries; heart attack; sickness; and/or death.

 

I acknowledge that I am physically capable to participate in this regatta and related activities.  I acknowledge that I understand the importance of following rules and regulations to minimize risks, and agree to obey all rules and instructions given by the event administrators, officials, and supervisors.  Failure to comply could result in my dismissal from the regatta. I also understand that I may be held responsible for any property damage costs due to the misconduct of above participant.  

 

Medical Treatment:

I hereby acknowledge that Stetson University does not carry health or accident insurance to cover me for my participation in the regatta, and I understand and agree that coverage and payment for medical treatment or injury related costs are my responsibility. I understand that Stetson University is in no way responsible for any costs or other damages arising from my participation in the regatta.  I hereby consent and give authorization to Stetson University to secure emergency medical treatment for me in the event I am unable to, and release them from liability for any such decisions made on my behalf.

 

General Waiver and Release of Liability:

I hereby release, waive and discharge Stetson University, its directors, trustees, officers, employees, agents, insurers, attorneys, and any other party associated with Stetson University, including but not limited to any athletics staff members or employees that were involved in the planning of, making arrangements for or conducting the regatta from any and all liability, claim, damages, losses, attorneys’ fees and costs, including Stetson University’s negligence, whether foreseen or unforeseen, known or unknown, arising out of or in connection with the regatta, the Organization or the Location, including, without limitation, any loss, damage or injury arising while traveling to and from the regatta location, weather, strikes, acts of God, force majeure, civil unrest, war, terrorism, quarantine, criminal activity, accident, sickness, injury or death or other circumstances beyond the control of Stetson University, that may be sustained by me or to any property belonging to me while participating in the regatta.  I acknowledge that this Agreement shall bind me as well as my family members, heirs, executors, administrators, personal representatives, dependents, successors and assigns. 

 

General Terms:

This Agreement shall be construed in accordance with the laws of the State of Florida.  Should any portion of this Agreement be held invalid, the remaining portions shall not be affected and shall continue to be valid and enforceable. 

 

I certify that I have read and understand this Agreement, and I freely sign it, acknowledging the significance and consequences doing so. I also acknowledge that I have had all my questions answered to my satisfaction regarding the regatta and this Risk Acknowledgement, Informed Consent and Liability Waiver.

 

Acknowledgement and Signature:

I certify that I have read and understand this Assumption of Risk, Waiver, and Release of Liability Agreement.  I voluntarily sign this Agreement.

 

___________________________________                __________________________________

Participant Signature                                                      Date

 

___________________________________                __________________________________

Parent Legal/Guardian Signature                                  Date

(Required if participant is under the age of 18)