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SOUTHERN CALIFORNIA OUTRIGGER RACING ASSOCIATION

RELEASE OF LIABILITY, WAIVER OF CLAIMS AND ASSUMPTION OF RISK

RELEASE OF LIABILITY AND WAIVER OF CLAIMS

In consideration of being allowed to participate in the Southern California Outrigger Racing Association (“SCORA”), its events and/or its member clubs’ programs, I HEREBY FULLY RELEASE FROM LIABILITY AND WAIVE ALL CLAIMS AGAINST SCORA, ITS MEMBER CLUBS (INCLUDING MY OWN CLUB AFFILIATION IDENTIFIED ABOVE), THEIR RESPECTIVE OFFICERS, DIRECTORS, COACHES, VOLUNTEERS, AND ALL OF THEIR MEMBERS WHO ENGAGE IN THESE ACTIVITIES (hereinafter the “RELEASED PARTIES”). This release includes, but is not limited to, all official competitions, all official and/or informal practice and training sessions, all non-official competitions, as well as all social, charitable and/or fund-raising functions and any travel that is incidental and/or related to these activities. This release from liability and waiver of claims shall apply to all claims that may arise because of any mental and/or physical injury, disability and/or death, suffered by me, or any member of my family. I also release all claims against the Released Parties that may arise because of any loss, damage and/or destruction of my personal property. I intend that these releases shall fully bind my estate, heirs, survivors and/or assigns and that they shall be effective to the fullest extent permitted by law.

ASSUMPTION OF RISKI am a voluntary participant; I warrant that I am in good physical health and that I accept full responsibility for any medical expenses that may arise from any injuries I sustain while participating in these activities. I am fully aware of the dangers and risks associated with these activities. I understand that these risks include, but are not limited to, the risks of mental and/or physical injury, permanent disability, death and/or property damage, that could be caused by any of the following:

1. The risk of any equipment malfunction or failure. This includes, but is not limited to, the lack of, or improper or inadequate installation or maintenance of, any parts of the canoes and/or escort vessels, including any safety equipment.

2. The risk of my own negligence and/or the negligence of others.

3. The effects of exhaustion and/or exposure to extreme environmental conditions, including high surf, strong currents, high winds, storms and/or temperature extremes. I also understand that these conditions can affect the judgment, strength, stamina and/or coordination, of myself, or of others, thereby increasing my risk of injury, disability and/or death.

4. The increased health risks associated with sustained physical exertion under adverse conditions, including, but not limited to, seasickness, dehydration, heat exhaustion, heat stroke and heart attack.

5. The risk of injury, disability, death and/or property damage that may arise when loading, unloading, trailering and/or transporting the heavy canoes and/or equipment that are used in these activities.

6. The risk of injury, disability, death and/or property damage that may arise from the use of canoes and/or power boats in practices and in competitions. This includes, but is not limited to, the risk that I may be struck, cut, crushed or pinched by one of these vessels, regardless of whether I am a passenger, paddler or competitor.

7. The risk of injury, disability and/or death from dangerous and/or unpredictable marine life such as jelly fish, sting rays, sharks, sea lions, whales and other such animals.

8. The increased risks caused by limited or inadequate access to proper medical attention in the event of injury.

I also fully understand and accept that there are any number of other risks, both known and unknown, that may be encountered by me in these activities, even if not specifically listed above. I am fully aware of, and responsible for, my own health condition and/or any physical limitations I may have, both known and unknown, that may place me at risk with respect to these activities. I also warrant and agree that I will comply with all safety instructions given to me and I will warn others of any unsafe conditions I may observe while participating in these activities. With these understandings in mind, I FULLY ACCEPT AND ASSUME ALL RISKS THAT ARE ASSOCIATED WITH, OR MAY BE ENCOUNTERED BY ME, WHILE PARTICIPATING IN THESE ACTIVITIES. 

INDEMNIFICATION

I agree to fully hold harmless and to defend and indemnify the Released Parties from all claims, including all costs incurred in defending against said claims, that arise from, or are related to my own actions or inactions, or any injuries I may cause or incur, during my participation in these activities. This shall also include, but is not limited to, any costs or fees that may be associated with emergency response providers, emergency care services and/or medical transport providers.

MEDIA RELEASE

I understand that I may be photographed, filmed or otherwise recorded during these activities. I agree to allow my image, actions and voice to be so recorded and I agree that these recordings may be used by SCORA and/or its member clubs for any educational, promotional, social and/or non-profit purpose related to this sport and these activities, in digital, online or print format, without compensation, indefinitely, and without the need for further permission or licensing from me.

VENUE SELECTION

I agree that any action arising out of, related to my participation in these activities, or relating to the interpretation or enforcement of this Agreement must be filed in the California Superior Court of Orange County and that it will be interpreted solely in accordance with California law. The only exception to this rule shall be that if I file suit against any of the member clubs without filing suit directly against SCORA, then I acknowledge that the suit must be filed in the California Superior Court of the county where the primary defendant member club is located. I have fully read and understand both pages of this document and I am signing it voluntarily, without relying on any other oral or written representations or statements not included herein. I RECOGNIZE THAT BY SIGNING THIS DOCUMENT I AM GIVING UP SUBSTANTIAL RIGHTS, INCLUDING THE RIGHT TO SUE. I AM SIGNING THIS DOCUMENT OF MY OWN FREE WILL AND I INTEND FOR MY SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY IN FAVOR OF THE RELEASED PARTIES TO THE GREATEST EXTENT ALLOWED BY LAW.

Dated: November 17, 2018

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Club Information

If you are not a member of a club, STOP! Please complete a paper waiver instead. This includes fundraiser participants, demo day participants, etc. All clubs should have paper waivers on site or you can find it on our website.

SCORA CLUBS: You must enter a SCORA ID. Please do not continue if you do not know your SCORA ID. Please ask your coach or login to your scoraregistration.com profile. Novice paddlers need to have this completed before signing a waiver. You MUST include "SC" before the number.

NON-SCORA CLUBS: Please enter "visitor" in SCORA ID box, select "Visiting Club" as club affiliation and then enter your Club name in the Visiting Club Affiliation box.


SCORA ID Number *
Club Affiliation*

Visiting Club Affiliation
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Second Participant's Club Information

If you are not a member of a club, STOP! Please complete a paper waiver instead. This includes fundraiser participants, demo day participants, etc. All clubs should have paper waivers on site or you can find it on our website.

SCORA CLUBS: You must enter a SCORA ID. Please do not continue if you do not know your SCORA ID. Please ask your coach or login to your scoraregistration.com profile. Novice paddlers need to have this completed before signing a waiver. You MUST include "SC" before the number.

NON-SCORA CLUBS: Please enter "visitor" in SCORA ID box, select "Visiting Club" as club affiliation and then enter your Club name in the Visiting Club Affiliation box.


SCORA ID Number *
Club Affiliation*

Visiting Club Affiliation
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Third Participant's Club Information

If you are not a member of a club, STOP! Please complete a paper waiver instead. This includes fundraiser participants, demo day participants, etc. All clubs should have paper waivers on site or you can find it on our website.

SCORA CLUBS: You must enter a SCORA ID. Please do not continue if you do not know your SCORA ID. Please ask your coach or login to your scoraregistration.com profile. Novice paddlers need to have this completed before signing a waiver. You MUST include "SC" before the number.

NON-SCORA CLUBS: Please enter "visitor" in SCORA ID box, select "Visiting Club" as club affiliation and then enter your Club name in the Visiting Club Affiliation box.


SCORA ID Number *
Club Affiliation*

Visiting Club Affiliation
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Club Information

If you are not a member of a club, STOP! Please complete a paper waiver instead. This includes fundraiser participants, demo day participants, etc. All clubs should have paper waivers on site or you can find it on our website.

SCORA CLUBS: You must enter a SCORA ID. Please do not continue if you do not know your SCORA ID. Please ask your coach or login to your scoraregistration.com profile. Novice paddlers need to have this completed before signing a waiver. You MUST include "SC" before the number.

NON-SCORA CLUBS: Please enter "visitor" in SCORA ID box, select "Visiting Club" as club affiliation and then enter your Club name in the Visiting Club Affiliation box.


SCORA ID Number *
Club Affiliation*

Visiting Club Affiliation
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Club Information

If you are not a member of a club, STOP! Please complete a paper waiver instead. This includes fundraiser participants, demo day participants, etc. All clubs should have paper waivers on site or you can find it on our website.

SCORA CLUBS: You must enter a SCORA ID. Please do not continue if you do not know your SCORA ID. Please ask your coach or login to your scoraregistration.com profile. Novice paddlers need to have this completed before signing a waiver. You MUST include "SC" before the number.

NON-SCORA CLUBS: Please enter "visitor" in SCORA ID box, select "Visiting Club" as club affiliation and then enter your Club name in the Visiting Club Affiliation box.


SCORA ID Number *
Club Affiliation*

Visiting Club Affiliation
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Club Information

If you are not a member of a club, STOP! Please complete a paper waiver instead. This includes fundraiser participants, demo day participants, etc. All clubs should have paper waivers on site or you can find it on our website.

SCORA CLUBS: You must enter a SCORA ID. Please do not continue if you do not know your SCORA ID. Please ask your coach or login to your scoraregistration.com profile. Novice paddlers need to have this completed before signing a waiver. You MUST include "SC" before the number.

NON-SCORA CLUBS: Please enter "visitor" in SCORA ID box, select "Visiting Club" as club affiliation and then enter your Club name in the Visiting Club Affiliation box.


SCORA ID Number *
Club Affiliation*

Visiting Club Affiliation
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Club Information

If you are not a member of a club, STOP! Please complete a paper waiver instead. This includes fundraiser participants, demo day participants, etc. All clubs should have paper waivers on site or you can find it on our website.

SCORA CLUBS: You must enter a SCORA ID. Please do not continue if you do not know your SCORA ID. Please ask your coach or login to your scoraregistration.com profile. Novice paddlers need to have this completed before signing a waiver. You MUST include "SC" before the number.

NON-SCORA CLUBS: Please enter "visitor" in SCORA ID box, select "Visiting Club" as club affiliation and then enter your Club name in the Visiting Club Affiliation box.


SCORA ID Number *
Club Affiliation*

Visiting Club Affiliation
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Club Information

If you are not a member of a club, STOP! Please complete a paper waiver instead. This includes fundraiser participants, demo day participants, etc. All clubs should have paper waivers on site or you can find it on our website.

SCORA CLUBS: You must enter a SCORA ID. Please do not continue if you do not know your SCORA ID. Please ask your coach or login to your scoraregistration.com profile. Novice paddlers need to have this completed before signing a waiver. You MUST include "SC" before the number.

NON-SCORA CLUBS: Please enter "visitor" in SCORA ID box, select "Visiting Club" as club affiliation and then enter your Club name in the Visiting Club Affiliation box.


SCORA ID Number *
Club Affiliation*

Visiting Club Affiliation
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Club Information

If you are not a member of a club, STOP! Please complete a paper waiver instead. This includes fundraiser participants, demo day participants, etc. All clubs should have paper waivers on site or you can find it on our website.

SCORA CLUBS: You must enter a SCORA ID. Please do not continue if you do not know your SCORA ID. Please ask your coach or login to your scoraregistration.com profile. Novice paddlers need to have this completed before signing a waiver. You MUST include "SC" before the number.

NON-SCORA CLUBS: Please enter "visitor" in SCORA ID box, select "Visiting Club" as club affiliation and then enter your Club name in the Visiting Club Affiliation box.


SCORA ID Number *
Club Affiliation*

Visiting Club Affiliation
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Club Information

If you are not a member of a club, STOP! Please complete a paper waiver instead. This includes fundraiser participants, demo day participants, etc. All clubs should have paper waivers on site or you can find it on our website.

SCORA CLUBS: You must enter a SCORA ID. Please do not continue if you do not know your SCORA ID. Please ask your coach or login to your scoraregistration.com profile. Novice paddlers need to have this completed before signing a waiver. You MUST include "SC" before the number.

NON-SCORA CLUBS: Please enter "visitor" in SCORA ID box, select "Visiting Club" as club affiliation and then enter your Club name in the Visiting Club Affiliation box.


SCORA ID Number *
Club Affiliation*

Visiting Club Affiliation
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/Guardian Email Address

Email*

Confirm Email*
Check to receive information, news, and updates!
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Effective Period

From January 1, 2018 through December 31, 2018

In consideration of the Minor identified above being permitted to participate in these activities, I agree to indemnify, defend and hold harmless the Released Parties, from all claims that are brought by or on behalf this Minor. I certify that I am the custodial parent of this Minor, or that I am the Minor’s lawful guardian. I further agree to all terms of this Release of Liability, Waiver of Claims and Assumption of Risk as set forth above on behalf of myself and on behalf of such Minor
Parent/Guardian Name

First Name*

Middle Name

Last Name*

Phone*
Parent/Guardian Date of Birth*
Parent/Guardian Club Information

If you are not a member of a club, STOP! Please complete a paper waiver instead. This includes fundraiser participants, demo day participants, etc. All clubs should have paper waivers on site or you can find it on our website.

SCORA CLUBS: You must enter a SCORA ID. Please do not continue if you do not know your SCORA ID. Please ask your coach or login to your scoraregistration.com profile. Novice paddlers need to have this completed before signing a waiver. You MUST include "SC" before the number.

NON-SCORA CLUBS: Please enter "visitor" in SCORA ID box, select "Visiting Club" as club affiliation and then enter your Club name in the Visiting Club Affiliation box.


SCORA ID Number *
Club Affiliation*

Visiting Club Affiliation
Parent/Guardian 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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