Waiver for Period 01/01/2020 - 01/01/2021
- Electronic Waiver for All Paddlers - Please fill one form per paddler.
- For paddlers under age 18, please have a parent or guardian fill out the second part of the waiver.
- After your submission, you will have a chance to go back and edit your responses; so, if you suspect you made a mistake, you do not need to submit another one; just click on "Edit your response" after your submission.

AMATEUR ATHLETIC WAIVER AND RELEASE OF LIABILITY
CLUB: BERKELY RACING CANOE CENTER

In consideration of being allowed to participate in any way in this sports activity, related events and activities, the undersigned acknowledges, appreciates, and agrees that: The risk of injury from the activities involved in this sport 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, I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others and assume full responsibility for my participation; and, I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual or significant hazard during my presence or participation, I will remove myself from participation and bring such hazard to the attention of the nearest official immediately; and, I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS UNITED STATES DRAGON BOAT FEDERATION; PADDLESPORT RISK MANAGEMENT, LLC; Berkeley Racing Canoe Center (BRCC), City of Berkeley, Berkeley Yacht Club, their respective officers, directors, coaches, steers, volunteers, officials, agents, and/or employees, servants. other participants, municipalities, sponsoring agencies, commissions, sponsors, advertisers, and, if applicable, owners and lessors of premises used to conduct the event & club activities (“RELEASEES”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE. I also acknowledge that photographs and video may be taken of me in my participation in, and attendance at this event, and hereby freely agree to allow without restriction all uses of such photos and videos in the reporting of this race, and/or in the promotion of this event, its location, other sporting events, sport in general, and/or related purposes.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

Which team is the paddler affiliated with? *
Paddler's First and Last Name *
Paddler's Phone Number xxx-xxx-xxxx *
Paddler's Email Address *
Paddler's Address - Number and Street *
City, State, Zip *
Emergency Contact Name(s) *
Emergency Contact Phone Number(s) *
Emergency Contact Email Address (Optional)
What is the relationship of the emergency contact person to the paddler? *
Paddler's Birthday *
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DD
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Are you at least age 18? *
If you check "No", Please have your parent or guardian fill out the rest of this waiver.
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