IN CONSIDERATION of being given the opportunity to participate in the _____________________________ ("Regatta") I, for myself, my personal representatives, assigns, heirs, and next of kin:
1. ACKNOWLEDGE, agree, and represent that I understand the nature of rowing activities, both on the water and land based and that I am qualified, in good health, and in proper physical condition to participate in such Regatta.
2. FULLY UNDERSTAND that:
3. AGREE AND WARRANT that I will examine and inspect each Regatta in which I take part and that, if I observe any condition which I consider to be unacceptably hazardous or dangerous, I will notify the proper authority in charge of the Regatta and will refuse to take part in the Regatta until the condition has been corrected to my satisfaction.
4. HEREBY RELEASE, discharge, and convenant not to sue USRowing, the Regatta, Schuylkill Navy and its member clubs, their administrators, directors, agents, officers, volunteers and employees, and other participants, regatta organizers, any sponsors, advertisers, and, if applicable, owners and lessors of premises on which the Regatta take (each considered one of the releasees herein) from all liability, claims, demands, losses, or damages on my account caused or alleged to be caused in whole or in part by the negligence of the releasees or otherwise, including negligent rescue operations; and I further agree that if, despite this release and waiver of liability, assumption of risk, and indemnity agreement, I, or anyone on my behalf, makes a claim against any of the releasees, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS each of the releasees from any litigation expenses, attorney fees, loss liability, damage, or cost which may incur as a the result of such a claim.
I have read this agreement, fully understand its terms, understand that I have given up substantial rights by signing it and have signed it freely and without any induction or assurance of any nature amd intend it to be a complete and unconditional release of all liability to the greatest extent allowed by law and agree that if any portion of this agreement is held to be invalid, the balance, notwithstanding, shall continue in full force.
Printed name of Participant:
___________________________________________________
___________________________________________________
Street: ___________________________________________________
City: ___________________________________________________
State and ZIP: ___________________________________________________
Phone: ___________________________________________________
Date: ___________________________________________________
Participant's Signature (only if age 18 or over):
___________________________________________________
Printed name of Parent/Guardian:
___________________________________________________
___________________________________________________
Street: ___________________________________________________
City: ___________________________________________________
State and ZIP: ___________________________________________________
Phone: ___________________________________________________
Date: ___________________________________________________
Parent/Guardian's Signature (only if participant is under the age of 18):
___________________________________________________