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NORTHERN CALIFORNIA OUTRIGGER
CANOE ASSOCIATION

Release of Liability Waiver

PARTICIPANT AGREEMENT, RELEASE, AND ASSUMPTION OF RISK
In consideration of the services of Northern California Outrigger Canoe Association, their agents, owners, officers, volunteers,participants, employees, and all other persons or entities acting in any capacity on their behalf (hereinafter collectively referred to as"NCOCA"), I hereby agree to release, indemnify, and discharge NCOCA., on behalf of myself, my children, my parents, my heirs,assigns, personal representatives and estate as follows:

  1. I acknowledge that my participation in paddling an outrigger canoe, kayak, SUP or surf ski entails known and unanticipatedrisks that could result in physical or emotional injury, paralysis, death, or damage to myself, to property, or to third parties. I understandthat such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity. The risks include, among other things: boat capsize and entrapment; travel in remote areas; collision with objects or other watercraft and rapidly changing adverse weather and water conditions. Canoes are slippery when wet and accidents can occur gettingin or out. I can slip or fall during a hike, resulting in damage to equipment or personal injury. Exposure to the natural elements can beuncomfortable and/or harmful. I am aware that this exposure could cause sunburn, dehydration, heat exhaustion, heat stroke and heatcramps. Also, exposure to cold water can result in cold shock, hypothermia and, in extreme cases, death and accidental drowning is apossibility. Furthermore, NCOCA staff has difficult jobs to perform. They seek safety, but they are not infallible. They might be unaware ofa participant's fitness or abilities. They might misjudge the weather, the elements, or the terrain. They may give inadequate warnings orinstructions, and the equipment being used might malfunction.
  2. I expressly agree and promise to accept and assume all of the risks existing in this activity. My participation in thisactivity is purely voluntary, and I elect to participate in spite of the risks. Additionally, I agree to wear a U.S. Coast Guard approvedpersonal flotation device (life jacket) while participating in this activity when applicable.
  3. I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless NCOCA from any and all claims, demands, or causes of action, which are in any way connected with my participation in this activity or my use of NCOCA'sequipment or facilities, including any such claims which allege negligent acts or omissions of NCOCA.
  4. Should NCOCA or anyone acting on their behalf, be required to incur attorney's fees and costs to enforce thisagreement, I agree to indemnify and hold them harmless for all such fees and costs.
  5. I certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating, orelse I agree to bear the costs of such injury or damage myself. I further certify that I am willing to assume the risk of any medical orphysical condition I may have.
  6. In the event that I file a lawsuit against NCOCA, I agree to do so solely in the state of California, and I further agreethat the substantive law of that state shall apply in that action without regard to the conflict of law rules of that state. I agree that if anyportion of this agreement is found to be void or unenforceable, the remaining portions shall remain in full force and effect.

By signing this document, I acknowledge that if anyone is hurt or property is damaged during my participation in this activity,I may be found by a court of law to have waived my right to maintain a lawsuit against NCOCA on the basis of any claim fromwhich I have released them herein. I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by itsterms.

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Second Participant's Date of Birth*
Second Participant's Signature*
Third Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Third Participant's Date of Birth*
Third Participant's Signature*
Fourth Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Fourth Participant's Date of Birth*
Fourth Participant's Signature*
Fifth Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Fifth Participant's Date of Birth*
Fifth Participant's Signature*
Sixth Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Sixth Participant's Date of Birth*
Sixth Participant's Signature*
Seventh Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Seventh Participant's Date of Birth*
Seventh Participant's Signature*
Eighth Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Eighth Participant's Date of Birth*
Eighth Participant's Signature*
Ninth Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Ninth Participant's Date of Birth*
Ninth Participant's Signature*
Tenth Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Tenth Participant's Date of Birth*
Tenth Participant's Signature*
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Club Name
Club Name*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age). In consideration oft named Minor being permitted by NCOCA to participate in its activities and to use its equipment and facilities, I further agree to indemnify and hold harmless NCOCA from any and all Claims which are brought by, or on behalf of Minor, and which are in any way connected with such use or participation by Minor.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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