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Oregon Boating Foundation
PO Box 701
Newport, Oregon 97365
(800) 806-4882

Waiver of Liability and Indemnification:

Please read this section carefully before signing below.

In consideration of the opportunity to participate in boating activities and being permitted to use equipment belonging to the Oregon Boating Foundation, the Port of Newport, and the Port of Toledo (hereto referred to the Organizations), and their members, I understand and agree to the following:

  1. The participant will be monitored by an instructor designated by the Organizations while using any of the equipment or facilities or the Organizations or its members. I will inspect the facilities and equipment to be used and if I believe anything is unsafe, I will immediately advise the Organizations of such condition and will refuse to participate or to use the facilities or equipment until such time as the unsafe condition has been addressed. I will at all times abide by all Organization policies and rules.
  2. I fully understand and acknowledge that there are risks and dangers associated with participation in boating which could result in bodily injury, partial and total disability, paralysis and death. The social and economic losses and/or damages which could result from those risks and dangers could be severe. These risks and dangers may be caused by the action, inaction or negligence of myself as participant or by the action, inaction or negligence of others, including but not limited to the Organizations, their instructors or any of their members. There may be other risks not known to me or which are not reasonably foreseeable by me at this time.
  3. I accept and assume such risks and responsibilities for the losses and/or damages following such injury, disability, paralysis or death, however caused and whether caused in whole or in part by the negligence of the Organizations or their instructors and members.
  4. I hereby release, waive, discharge and covenant not to sue the Organizations or any of their members or directors, officers, agents, instructors, employees, and volunteers from all liability to me, my personal representatives, assigns, executors, heirs and next of kin for any and all claims, demands, losses or damages on account of any injury, including but not limited to my death or the damage to property, caused or alleged to be caused in whole or in part by the negligence of the Organizations or any other persons above mentioned.
  5. I execute this waiver and release on my own behalf freely and voluntarily. If, despite this release, I or any of my representatives make a claim against any of the persons or entities intended to be released, I agree to reimburse those persons to be released and their insuring company, if any, for any money which they have paid to defend a claim or by way of damages which may be awarded to me or my representative. I hold the Organizations and their representative(s) harmless from any claim or cost.
  6. I grant permission to the Organizations, their members, directors, officers, agents, instructors, employees, or volunteers to provide or arrange for medical treatment that they may deem necessary in the event of injury or illness.
  7. The Organizations reserve the right to photograph program participants for publicity purposes. The Organizations agree to provide a photo of a participant to the participant upon request.
First Participant's Name

First Name*

Last Name*

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

First Name*

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
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 monthly updates, event notifications, and special offers.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Relationship*

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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