Kellett Island Cup 2022–  Indemnity Form for Junior Participants
Thank you for participating in the Kellett Island Cup 2022. We are looking forward to see all paddlers in the race !

Please read the details below carefully. This form is to be completed by the Parent/Guardian if the participant is below the age of 18.
IT IS NOT ALLOWED TO PARTICIPATE UNLESS THIS FORM IS COMPLETED & SIGNED.  


Email to cecilia.hui@rhkyc.org.hk if you have any enquiries.
Sign in to Google to save your progress. Learn more
Participant Name *
Gender *
Date of Birth *
MM
/
DD
/
YYYY
Mobile No. *
Club representing / Team Name *
Event participating *
Parent / Guardian Name *
Relationship *
Email: *
Mobile No. *
Parent / Guardian - RHKYC Member No. (If applicable)
1. I agree to consent him / her to participate in the Kellett Island Cup 2022 with below terms & conditions.   *
2. The participant/parent/guardian declares that the participant has full knowledge of the risks involved and is well prepared; physically and sufficiently fit to undergo the Kellett Island Cup 2022.   *
3. The participant/parent/guardian declares that the participant can swim at least 50 meters and is competent under water & treading water in light clothing. He / She does not suffer from any illnesses that render him / her unfit for this Race.   *
4. The participant/parent/guardian agrees that the participant has strict compliance with all rules, regulations, requirements & instructions related to the above Race and the participant should responsible for any death, personal injury or loss to property if such is caused by the violation of the regulations, requirements & instructions by participant.   *
5. The participant/parent/guardian hereby agrees that if he / she suffers damage, death or personal injury as a result of participating in this Race, he / she shall not hold the Royal Hong Kong Yacht Club, the appointed officials, staff & employees liable for such damage, death or personal injury, and he / she makes this agreement in full knowledge of the risks inherent in this Race.   *
6. The participant/parent/guardian agrees to pay the costs or replacement for any damages to RHKYC equipment caused by the participant.   *
7. Medical:  Please give details of any medical conditions/ allergies/disabilities:
8. Please give detail of any medication that you receive for any condition: ( It is your responsibility to make known any potential medical conditions that may affect your own personal safety during the Race.  )
9. Please ensure you / the participant/guardian have uploaded the latest vaccination record or medical exemption onto your LeaveHomeSafe app, or have paper copies along whenever entering the Club. Further, the Vaccine Pass has three phases, please check that  vaccinations are up to date. *
Promotion : I understand that participants in RHKYC activities grant to RHKYC, at no cost, the absolute right and permission in perpetuity to use their image and likeness in any media, including video footage, for the sole purposes of advertising, promoting, reporting and disseminating information regarding RHKYC activities.   *
Please acknowlege if you agree & confirm the above details . *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy