INDEMNITY AND RELEASE
All
persons seeking membership of an outrigger canoe club, or IF NOT A MEMBER
and participating in a SANCTIONED outrigger event, must complete this
document.
I understand that participating
in the activities of the PANAMUNA
Outrigger Canoe Club Inc (hereinafter known as the Club) will be on water
and therefore I am required to be a competent swimmer and I also understand
that outrigger activity carries with it the inherent risk of physical injury,
including serious injury such as
permanent disability, paralysis and even death and
in undertaking such activities I do so at my own risk.
I am also aware that it is a
condition to my participation in any official or sanctioned outrigger event
that AOCRA, its officers, employees, representatives, agents, volunteers,
instructors, members, or servants are absolved from all liability howsoever
arising from injury or damage howsoever caused (whether fatal or otherwise)
arising out of my participation in an event or in training, instruction or
carriage in any vessel being used for or in connection with outrigger canoe
racing or in any way whatsoever due to any negligent act, breach of duty,
default and/or omission on the part of AOCRA, its respective officers,
employees, representatives, agents, volunteers, instructors, members, or
servants.
I am also aware that any person
participating in outrigger canoe racing, learning to outrigger, training or
being involved with any vessel being used for or in connection with outrigger
canoe racing or participating in any activity carried out by AOCRA and the Club, are only allowed to do so on
the distinct understanding that they do so at their own risk.
This agreement shall be binding
upon and inure to the benefit of the parties, their successors, administrators,
assigns and personal representatives.
In consideration of being allowed
to participate in the activities of the Club,
which includes training for and participating in regattas,
I,
.......
..
............................................................. (Please print FULL NAME)
of
.....
................................................................................... Telephone:
...................................................
do
HEREBY ACKNOWLEDGE that I have read and understood the warning and indemnity
above and agree to release and forever hold harmless from any liability, suit
or action howsoever arising AUSTRALIAN OUTRIGGER CANOE RACING ASSOCIATION INC
and the Club, and their respective officers, employees, representatives, agents, volunteers,
instructors, members, or servants in the event of my injury and/or death.
Signed:
Witness
Signed:
Date:
/
/ 200 .... PRINT
NAME:
.
Signed on behalf of a junior person-
under 18
I consent to the person
named in this document to take part in activities with the Club and acknowledge that I have read and understand this
waiver and agree to release AOCRA and the
Club and their respective officers, employees, representatives, agents,
volunteers, instructors, members, or servants from any liability including the Clubs acts of negligence to the
fullest extent permitted by the law.
PARENT / PRIMARY CARE GIVER
Signed:
.. Witness Signed:
Print Name:
.. PRINT
NAME:
Address:
....................................................................... Telephone
Date:
/
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