Waiver of Liability and Release of Claims for the Great Cardboard Regatta
In consideration of undersigned being permitted to compete, officiate, observe, work for or participate in any way in the Great Cardboard Regatta. (the “Event”) located at Farrington Park. (the “Lake”) Windsor, MO, the undersigned understand, acknowledge and agree that there is an inherent danger involved, and that the undersigned are participating in the event at their own risk. The undersigned hereby releases, waives, discharges and covenants not to sue the City of Windsor, (hereinafter the “City”); Farrington Park or its board members; any member, representative or volunteer of Windsor’s Septemberfest; any member, representative or volunteer of Windsor Encampment #160 of the Independent Order of Odd Fellows (hereinafter collectively the “Sponsors”). The undersigned assume the risk and all dangerous conditions in and about the Lake and all other facilities related thereto, including, but not limited to all equipment and all other claims for loss, injury, death or damage or any kind of nature whatsoever which may occur while the undersigned is at and about the Lake during the Event, which may be caused by any act, or failure to act, or negligence of the undersigned, the City or its agents, representatives, officers, employees, or invitee, or the Sponsors, their agents, representatives, officers, employees or invitee. The undersigned, for themselves and their respective heirs and legal representatives, assigns and insurers, covenant and agree that they will be solely responsible for any and all loss, damage, injury or death that may be occasioned to any person, or damage to property arising out of or in any way connected with the undersigned’s participation in the Event and presence at the Lake, and shall indemnify, defend and hold harmless the City and Sponsor’s together with their legal representatives, employees, officers or agents against any and all claims or damage, including the cost of defense of any such claim, of any kind or nature whatsoever. Nothing contained herein is intended to excuse the gross negligence or willful misconduct of the City or Sponsors or their legal representatives, agents employees or invitee, if the gross negligence or willful misconduct of the City or Sponsors is the proximate cause of any loss, damage, injury or death that may be occasioned to any person, or damage to property arising out of or in any way connected with the undersigned participation in the Event.
I HAVE READ THIS WAIVER OF LIABILITY AND RELEASE OF CLAIMS AND FULLY UNDERSTAND ITS TERMS. I UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT, ASSURANCE OR GUARANTEE BEING MADE TO ME. I INTEND MY SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW. Dated this Name: (Please print) Signature: Legal Guardian: (Please print) ‘If participant is under 18 years of age.’ Signature: Address: City and State: Telephone: Email: Witness: day of , 2009.
Entry Form For The Great Cardboard Boat Regatta
July 4. 2009 Farrington Park. Windsor. MO Sponsored by Windsor Encampment #160 of the Independent Order of Odd Fellows to benefit the Windsor Septemberfest Committee. Bring this entry form along with the Waiver of Liability and Release of Claims form with you on the day of the race or mail documents to: Windsor Encampment #160. 116 S. Main. Windsor, MO 65360. The entry fee is $10 per boat entry. Payment must accompany entry form. Make checks payable to Windsor Encampment #160. I wish to enter the following: (select one only) Single Person Boat Two Person Boat Business/Organization Challenge
Single Person Boat Name: Age: (If under the age of 18)
Two Person Boat Name: Age: (If under the age of 18)
2nd Crewmember Name: Age: (If under the age of 18)
Legal Guardian: (If crewmember(s) ages) is/are under 18) Name: Signature: Phone:
Entry Form, Liability form and Fee must be turned in prior to 2:45 p.m. on July 4, 2009.