Kent Dragon Boat Association
2010 WAIVER AND RELEASE OF LIABILITY
READ BEFORE SIGNING
In
consideration of being allowed to participate in any way in the
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 rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and,
2. I KNOWINGLY
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 nearest official immediately; and,
4. I, for myself and on behalf of my heirs, assigns, personal
representatives and next of kin, HEREBY RELEASE
I HAVE READ
THIS RELEASE OF LIABILITY
Signature of Participant: _______________________________________________________
Date Signed: _________________________
FOR PARTICIPANTS OF MINORITY
(UNDER THE
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 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 or participation in these programs as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law.
Parent/Guardian Signature: __________________________________________________
Print Name: ____________________________________________________________
Date Signed: ________________________