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MEMBER PROGRAM RELEASE & INDEMNITY FORM

PLEASE READ CAREFULLY BEFORE SIGNING. THIS DOCUMENT IS BINDING AND HAS LEGAL EFFECTS.

By signing this document, I agree:

  1. RELEASE OF ALL LIABILITY. In consideration of being allowed to boat or sail, at this time or any time in the future, I hereby voluntarily assume all risks and dangers of injury, harm, wrongful death or damage to my person or my property or other occupants and their property resulting from or arising out of boating or sailing at any time with S/V Boom & Bendy Inc, dba Seattle Sailing Club (HEREIN CALLED "THE CLUB" or "SEATTLE SAILING CLUB"). I further release and discharge Seattle Sailing Club and their employees from all liability for any harm, injury, wrongful death, or damage that may befall me arising directly or indirectly from boating, sailing, or transportation to or from the Seattle Sailing Club and its moorage.
  2. I further release and discharge Seattle Sailing Club, its officers, directors, shareholders, and employees from all liability from any harm, injury, damage, or wrongful death that may befall me arising directly or indirectly from boating or sailing in a boat owned, leased, or controlled by said corporation including all risks connected therewith, whether foreseen or unforeseen.
  3. I have NO medical disability which may in anyway affect my performance or ability to participate in sailing or boating.
  4. I assume my equal share of the insurance deductible or cost to replace an item in the event of damage or equipment loss as a result from my participation in Seattle Sailing Club events. 
  5. SAFETY AGREEMENT. I hereby agree to be alert at all times to possible safety hazards, to familiarize myself with the rules of safe boating, and to practice safe boating procedures.
  6. I understand that this is a contract having legal effect and that there have been no representations or warranties or agreements by my instructor, or by Seattle Sailing Club, its owners, agents, shareholders, directors, or their employees regarding the subject matter of this contract which modify or affect its terms.
  7. I grant to Seattle Sailing Club, its representatives and employees the right to take photographs of me and my property in connection with the above-identified subject. I authorize Seattle Sailing Club, its assigns and transferees to copyright, use and publish the same in print and/or electronically.
  8. I agree that Seattle Sailing Club may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.

I Agree

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COVID-19 UNIFORM ASSUMPTION OF RISK

  • I acknowledge the contagious nature of the Coronavirus/COVID-19 and that the state, local, and federal governments, the CDC, and many other public health authorities still recommend practicing social distancing.
  • I further acknowledge that Seattle Sailing Club has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19.
  • I further acknowledge that Seattle Sailing Club can not guarantee that I will not become infected with the Coronavirus/Covid-19. I understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Club employees, members, and other Club guests and their families.
  • If I am experiencing any symptom of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell within 14-days of the event, I will not expose myself to other members, guests, or Club employees.
  • If I believe I have been exposed to someone with a suspected and/or confirmed case of the Coronavirus/COVID-19, I will not expose myself to other members, guests, or Club employees.
  • If I have been diagnosed with Coronavirus/Covid-19 and not yet cleared as non contagious by state or local public health authorities, I will not expose myself to other members, guests, or Club employees.
  • I am following all state, local, federal, and CDC recommended guidelines as much as possible and limiting my exposure to Coronavirus/COVID-19.
  • If I am exposed (or test positive) and have come in contact with others (while participating in events, programs, reservations, etc.) at Seattle Sailing Club, I will immediately notify my skipper (or crew), the people I came in contact with or call the Club to ask for assistance in contact tracing.
  • I acknowledge that if I break any Club policies (those listed here, in the Member Handbook, in Club COVID-19 policies, etc as well as any changes to policies throughout the program), I risk termination of my membership with no monetary reimbursement for lost program participation.  

I Agree
 

I agree to nonetheless, and in consideration for being allowed by Seattle Sailing Club to participate in such activities, I hereby acknowledge the existence of such risk, fully assume such risk, and hereby waive and release any and all such claims and potential claims, I might otherwise assert, against either Seattle Sailing Club employees, the Instructor and/or the American Sailing Association, Inc. with regard to such possible exposure, and hereby covenant and agree not to assert such claim in any lawsuit or other form of legal proceeding against Seattle Sailing Club, the Instructor or the American Sailing Association, Inc.

I Agree





First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
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*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

First Name*

Last 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*

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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