Docstoc

Participant Information

Document Sample
Participant Information Powered By Docstoc
					                   RED NIK RIPPIN’ DOWN THE BOW PRESENTED BY RED NIK SURF CO


Participant Information
(*Indicates Required Information)

FIRST NAME*: _____________________
MIDDLE NAME: _____________________
LAST NAME*: _____________________
DATE OF BIRTH* (MM/DD/YYYY): (___/___/___)
GENDER*:                             MALE           FEMALE 
TSHIRT SIZE*:                       SMALL      MEDIUM  LARGE  X-LARGE 
DAY PHONE*: _ (                     ) _____
EVENING PHONE: _ (                     ) ____
EMERGENCY CONTACT*:
           FULL NAME*: _____________
           DAY PHONE*: _ (              ) ____
ADDRESS*: _____________________
                      _____________________
CITY*: ________ COUNTRY*: __________
POSTAL CODE*: ____________
EMAIL:___________
                                         REGISTRATION FEE $21.00


Date*: ______
Signature of participant* (or guardian if participant is under 18): ___________
                                     RED NIK RIPPIN’ DOWN THE BOW PRESENTED BY RED NIK SURF CO

 RED NIK SURF CO. RELEASE OF LIABILITY, WAIVER, AND ASSUMPTION OF RISK AGREEMENT
    CAUTION: DO NOT SIGN THIS DOCUMENT WITHOUT READING IT IN ITS ENTIRETY AND
    CAREFULLY. BY SIGNING THIS DOCUMENT, YOU GIVE UP IMPORTANT LEGAL RIGHTS!
   STANDUP PADDLEBOARDING IS AN ATHLETIC ACTIVITY, THE PARTICIPATION IN WHICH
       INVOLVES VARIOUS RISKS. PLEASE READ AND UNDERSTAND THIS DOCUMENT.

 THIS IS A LEGAL DOCUMENT. MY SIGNATURE IS MY ACKNOWLEDGMENT OF THE CONTENTS
  OF THIS CONTRACT. I WILL NOT SIGN THIS DOCUMENT UNLESS I FULLY UNDERSTAND AND
                        AGREE TO BE BOUND BY ITS CONTENTS.

I, ___________________________________, being an adult, (or a minor on whose behalf a parent or legal guardian
is signing this document) (hereafter “I” or “me”), acknowledge that:

(1) Safety Warning And Assumption of Risk
Participants are advised that they should be in good physical condition, because these events may involve strenuous physical activity. Participants are further
advised that Standup Paddle Boarding is held in a natural environment, in conditions that are subject to change at any time and without prior warning.
Aspects of the environment which may be hazardous include, but are not limited to the following: submerged rocks, floating debris, strong currents, cross
currents, rip currents and hazards. I acknowledge and willingly and voluntarily assume all risks and hazards in Standup Paddle
Boarding in all phases of these activities from the equipment rental period, including, but not limited to those
involving, (1) loss of control of the surfboard, malfunction of the surfboard, falls from the surfboard, collision with
other participants, equipment, other paddle boards, rocks, and any other man made or natural obstacles, whether
obvious or not; (3) submersion in water, drowning; (4) encounters with animals, marine life, plant life, rocks and
insects; (5) exposure to outdoor open water environment, bacteria or microbes, extreme temperatures, sun, and
inclement weather, including travel by foot or vehicle in any way related to this activity; (6) assistance in lifting and
/or carrying paddle board equipment; (7) rescue-related injuries; and (8) unavailability of immediate and appropriate
medical attention in case of injury. I understand and acknowledge that the above list is not meant to be complete or
exhaustive, and that other unforeseen and unanticipated risks, known or unknown, may also exist and result in
damage, injury, illness, disease, or death. I acknowledge that Standup Paddle Boarding in open bodies of water is an inherently dangerous sport
in which I participate at my own risk. There is an inherent risk of serious injury and death in connection with open water activities, and I expressly assume
the risks for any damages to myself, any other persons or property resulting from my participation in the Standup Paddle Boarding activity.

(2)I Waive My Right To Sue Red Nik Surf Co.: In consideration for Red Nik Surf Co. agreeing to provide me with
equipment rental or surfing instructions and/or allowing me to participate in this demo, I agree that I shall not make a
claim or bring any action against, sue, or hold responsible, the City of Calgary, Red Nik Surf Co., its owners
(including Billy Dostaler), officers, agents, employees, associates, representatives, (referred to collectively in this
agreement as “Red Nik Surf Co.”) or expect, require, or pursue them, to be held accountable for any damages. I
voluntarily agree to release, discharge, and hold harmless Red Nik Surf Co. from and against any and all claims of
liability, even those arising out of their negligence, fault, recklessness, or any other act or omission which causes me
damages, illness, injury, disease, or death, of any nature in any way connected with my participation in this activity. I
also expressly agree to release and discharge Red Nik Surf Co. from any act or omission, excluding acts of wanton or
gross negligence, in rendering or failing to render any type of rescue, emergency or medical services. I
ACKNOWLEDGE THAT BY SIGNING THIS RELEASE OF CLAIMS AGREEMENT, THAT I AM GIVING UP AND WAIVING THE RIGHT
TO PURSUE A CLAIM AND FILE A LAWSUIT AGAINST THE RELEASED PARTIES IF I AM IN WAY INJURED OR KILLED DURING
THIS EVENT.


(3) Indemnity: I further agree, to hold harmless, defend, and indemnify Red Nik Surf Co. and the City of Calgary
from all defense costs, including attorney’s fees incurred in connection with any claims arising from the activities
anticipated herein, including but not limited to those for bodily injury, wrongful death, or property damage, whether
                                    RED NIK RIPPIN’ DOWN THE BOW PRESENTED BY RED NIK SURF CO

caused by or sustained by any minor under 18 years of age on whose behalf I am signing, or which I may have caused
to spectators or other third parties, whether negligent or not, in the course of my participation in this activity. In the
event of any actions, regardless of where venue lies, any such actions shall be filed in the City of Calgary, Alberta. In
the event that any action is filed other than in the City of Calgary, Alberta, it shall be moved to the City of Calgary,
Alberta on motion and at the option of Red Nik Surf Co.

(4)Parental/Guardian Agreement
(This paragraph must be signed by the parent/guardian of any persons under the age of eighteen (18) and this form
must be signed by such parent/guardian)
I/We, the undersigned, do agree on behalf of my/our minor child/ward, to be bound by the terms and conditions of this release form. We hereby waive any
and all claims that could be asserted by the minor, including, but not limited to any claims which may arise under the Code of Civil Procedure proving for an
action by the parents/guardian of an injured minor. I/we have explained the consequences of this release to the minor and I/We understand that in the event
the minor is injured or killed in open water while Standup Paddle Boarding, I/we will not be able to bring any claim for damages for any injury to or the loss
of life of the minor.


(5) Damages
I understand that any repairs from damage (which I have caused to the Standup Paddle Board or
equipment during the rental period) that must be done to the Standup Paddle Board or equipment will be
paid for by me. If damages exceed the cost of the Standup Paddle Board or equipment I will be charged
the full amount of the equipment. If any equipment which I or anyone in my party have lost during the
rental period I will be charged the full amount of the rental equipment.

This Release Agreement is executed this _____ day of __________, 20___, at _________________, Alberta.



_________________________________________

Participant Signature
Parent/Guardian Signature (if for minor)

				
DOCUMENT INFO
Shared By:
Tags:
Stats:
views:10
posted:8/6/2011
language:English
pages:3