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2021 Lokahi OCC COVID-19 Liability Release Waiver

The World Health Organization has declared the novel Coronavirus (COVID-19) a worldwide pandemic. Due to its capacity to transmit from person-to-person through respiratory droplets, the government has set recommendations, guidelines, and 
some prohibitions which Lokahi Outrigger Canoe Center (the "Organization") adheres to comply.


In consideration of my participation in the foregoing, the undersigned acknowledge and agree to the following: 


- I am aware that physically attending the venue and participating in activities of the organization could result in injury or illness such as, but not limited to, Influenza, MSRA or COVID-19 which could lead to paralysis or death.

- I have not experienced symptoms that of fever, fatigue, difficulty in breathing, or dry cough or exhibiting any other symptoms relating to COVID19 or any communicable disease within the last 14 days. 

- I have not, nor any member(s) of my household, traveled by sea or air, internationally within the past 14 days. 

- I did not, nor any member of my household, visit any area within the United States that was reported to be highly affected by COVID-19, in the last 14 days. 

- I have not been, nor any member(s) of my household, diagnosed to be infected of COVID-19 virus within the last 30 days. 


Following the pronouncements above I hereby declare the following: 

- I am fully and personally responsible for my own safety and actions while and during may participation and I recognize that I may be in any case be at risk of contracting COVID-19. 

- With full knowledge of the risks involved, I hereby release, waive, discharge the Organization, its board, officers, independent contractors, affiliates, employees, representatives, successors, and assigns from any and all liabilities, claims, demands, actions, and causes of action whatsoever, directly or indirectly arising out of or related to any loss, damage, injury, or death, that may be sustained by me related to COVID-19 while participating in any activity while in, on, or around the premises or while using the facilities that may lead to unintentional exposure or harm due to COVID-19. 

- I agree to indemnify, defend, and hold harmless the Organization from and against any and all costs, expenses, damages, lawsuits, and/or liabilities or claims arising whether directly or indirectly from or related to any and all claims made by or against any of the released party due to injury, loss, or death from or related to COVID-19. 


Protocols: 

1. To start with, we want to wear face covers at all times, on shore and on the water. Something as simple as a bandana or neck gator would work. We will have a hand written sign in sheet on site. 

2. No more storage of personal items (keys/glasses/wallets/phones, etc) in the shed. Please stow your belongings in a waterproof bag on you or use a hide-a-key etc. 

3. Club owned paddles will need to be wiped down with sanitizer/cleaner before and after use. 

4. Once you are assigned a seat, stow your waterproof bag close to you. At the end of practice, each person will remove their own paddle/water bottle/water bag/etc. themselves and put them either off to the side or take up to their car. 

5.  Any gear used that was removed from the shed will need to be sanitized before going back into the shed. 

6. Only one person in the shed at a time. Just wait until the person comes out before going in. 

7. We will have sanitizer available at each practice (When bathrooms are open, we will be able to use the sinks for handwashing) Please sanitize your hands before practice and at the end of each practice. Or anytime you feel you would like to wash up. Some may have this good habit already and carry sanitizer in their cars to use before and after they go to a function.

8. Start of practice: gather in a larger circle than usual by the shed so we can talk and plan our practice, set seats in the canoe.

9. We will launch one canoe at a time. This is to help keep our social distancing and to be considerate of other public also using the ramp. The first crew will then get underway. The 2nd crew will then go down and  launch. Both canoes will join up for practice together on the water. Coming back in, we will come in one canoe at a time too. Wait, off shore, until the first canoe has gone up the ramp before the 2nd canoe docks.

10. At the end of practice after any coaching comments/announcements, the cheer can be lead in a large circle instead of coming close together – then at the end just throw your arms up to release all that great energy we created on the water together. 

By signing below I acknowledge that I have read the foregoing Liability Release Waiver and understand its contents; 

- That I am at least eighteen (18) years old and fully competent to give my consent

-  That I have been sufficiently informed of the risks involved and give my voluntary consent in signing it as my own free act and deed

- That I give my voluntary consent in signing this Liability Release Waiver as my own free act and deed with full intention to be bound by the same, and free from any inducement or representation.



*Lokahi to follow CDC guidelines for Sonoma County.*


This waiver will remain effective until laws and mandates relevant to COVID-19 are lifted

First Participant's Name

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
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.


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*

Middle Name

Last Name*
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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