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Inwood Canoe Club Guest Waiver 2022

In consideration of being allowed to participate in any way in this sports activity, related events and activities, the undersigned
acknowledges, appreciates, and agrees that: The risk of injury or illness from the activities involved in this sport is significant,
including the potential for permanent paralysis and death; and while particular rules, equipment, and personal discipline may
reduce this risk, the risk of serious injury or illness does exist; and, I KNOWINGLY AND FREELY ASSUME ALL SUCH
RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others and
assume full responsibility for my participation; and, I willingly agree to comply with the stated and customary terms and
conditions for participation.
If I observe any unusual or significant hazard during my presence or participation, I will remove myself from participation and
bring such hazard to the attention of the nearest official immediately; and, I, for myself and on behalf of my heirs, assigns,
personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS PADDLESPORT RISK
MANAGEMENT, LLC; INWOOD CANOE CLUB; NYC PARKS, THE ARSENAL CENTRAL PARK, CITY OF NY
PARKS AND RECREATIONS; their officers & directors, officials, agents, and/or employees, other participants, sponsoring
agencies, commissions, sponsors, advertisers, volunteers, coaches, steerers, and, if applicable, owners and lessors of premises
used to conduct club activities or special events (“RELEASEES”), WITH RESPECT TO ANY AND ALL INJURY,
DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE
RELEASEES OR OTHERWISE.
I also acknowledge that photographs and video may be taken of me in my participation in, and attendance at this event, and
hereby freely agree to allow without restriction all uses of such photos and videos in the reporting of this club activity or race,
and/or in the promotion of the club, its location, other sporting events, sport in general, and/or related purposes.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS
TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY
AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

First Paddlers Name

First Name*

Middle Name

Last Name*

Phone*
First Paddlers Date of Birth*
First Paddlers Signature*
Second Paddlers Name

First Name*

Middle Name

Last Name*
Second Paddlers Date of Birth*
Third Paddlers Name

First Name*

Middle Name

Last Name*
Third Paddlers Date of Birth*
Fourth Paddlers Name

First Name*

Middle Name

Last Name*
Fourth Paddlers Date of Birth*
Fifth Paddlers Name

First Name*

Middle Name

Last Name*
Fifth Paddlers Date of Birth*
Sixth Paddlers Name

First Name*

Middle Name

Last Name*
Sixth Paddlers Date of Birth*
Seventh Paddlers Name

First Name*

Middle Name

Last Name*
Seventh Paddlers Date of Birth*
Eighth Paddlers Name

First Name*

Middle Name

Last Name*
Eighth Paddlers Date of Birth*
Ninth Paddlers Name

First Name*

Middle Name

Last Name*
Ninth Paddlers Date of Birth*
Tenth Paddlers Name

First Name*

Middle Name

Last Name*
Tenth Paddlers Date of Birth*
Paddlers 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*
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*

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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