Loading...

NANAIMO PADDLERS

MEMBERSHIP APPLICATION & WAIVER

2022-01-18

TODAY'S DATE: November 30, 2022 


 

ACKNOWLEDGEMENT OF RISK AND WAIVER

OF LIABILITY AND INDEMNITY AGREEMENT

 

THIS IS A LEGAL DOCUMENT WHICH SIGNIFICANTLY AFFECTS YOUR RIGHTS.  READ IT CAREFULLY.  OBTAIN LEGAL ADVICE IF YOU HAVE QUESTIONS OR REQUIRE CLARIFICATION OF ANY TERMS.  BY SIGNING THIS DOCUMENT YOU GIVE UP YOUR RIGHT TO CLAIM OR LITIGATE FOR INJURIES OR DEATH OR DAMAGES YOU MAY INCUR WHILE PARTICIPATING IN CLUB EVENTS.

 

Acknowledgement of Risk

 

In consideration of being granted membership in the Nanaimo Paddlers (“the Club”) and being permitted to participate in paddles and other activities and events organized by or for the Club (“the activities”), I hereby ACKNOWLEDGE, REPRESENT AND AGREE that:

  1. Kayaking is an activity which is inherently dangerous because it necessitates exposure to water, wind, tides, current, and other weather and environmental conditions, many of which are changeable without notice and are unpredictable. 
  2. The risks are extensive, and include, but are not limited to, equipment failure, personal injury and death caused or contributed to by the negligence of other people, including other participants, and may include exposure to individuals who have diseases, germs, and viruses, including Covid-19.
  3. I further acknowledge that other risks, at present unknown or not reasonably foreseeable, may cause personal injury, death, and/or property damage to me and/or my estate.
  4. I assume responsibility for my own personal safety while kayaking and engaged in all Club activities, whether on or off the water.  I acknowledge that Club procedures, Guidelines, Standards, and the like, are not intended as a substitute for exercising my own careful judgement and for taking reasonable care for my own personal safety and well-being.

 

Waiver of Liability

 

  1. I hereby WAIVE AND RELEASE the Club, its directors, officers, hosts, volunteers, participants, members, agents, and any other person involved in providing or assisting in providing the activities described above (“the Releasees”), from all liability, including, but not restricted to, claims in contract, negligence, and/or breach of statutory duty.
  2. This agreement is binding upon my estate, my executor, my administrator, heirs, assigns, and all persons and entities who might claim through me or on my behalf.

 

Indemnity 

 

  1. I agree to INDEMNIFY AND HOLD HARMLESS the Releasees from any and all damages, claims, costs, expenses of any kind, incurred by them in defending any claims advanced by me, my estate, and any other persons or entities claiming through me or on my behalf.

 

Entire Agreement, Severability, and Governing Law

 

  1. This document constitutes the entire agreement made between me and the Club.  
  2. In the event that a court determines that one or more of the provisions of this agreement are unenforceable, the remaining provisions shall remain in full force and effect.
  3. I hereby attorn to the province of British Columbia for the purposes of any litigation.  This agreement shall be governed by, and interpreted in accord with, the laws of the province of British Columbia.

 

I ACKNOWLEDGE, REPRESENT AND AGREE THAT I HAVE READ THIS AGREEMENT IN ITS ENTIRETY, THAT I HAVE HAD AN OPPORTUNITY TO OBTAIN LEGAL ADVICE REGARDING ITS TERMS, THAT I AM AT LEAST 19 YEARS OF AGE, AND THAT I AM SIGNING THIS AGREEMENT VOLUNTARILY WITHOUT INDUCEMENT FROM ANY PERSON.


I Agree

 

 

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
I certify that I am 19 years of age or older
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 Nanaimo Paddlers information, news, and updates by e-mail.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Membership Information

Select Plan Type: 

Individual
New
Renewal
Do you own a boat?*

If yes, please describe the make and model:

Nanaimo Paddlers is an informal group of people who like to paddle together. We organize trips, practice sessions, training sessions and social events for ourselves  Each Club member is responsible for her or his own conduct and safety on and off the water and before participating in any on-water activity must have completed a wet exit and assisted re-entry.  This should also be done annually.

Each member or guest must complete our waiver at least annually as a condition of participation in Nanaimo Paddlers activities. 

Thanks for deciding to join Nanaimo Paddlers. We look forward to paddling with you!


Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 19 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
I certify that I am 19 years of age or older
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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!