Waiver & Sign up Form Print E-mail

ASSUMPTION OF RISK AND WAIVER FORM

 

IN CONSIDERATION of being given the opportunity to participate in the Cape Cod Canal One-Fly Fishing Tournament on May 31, 2008 or rain date of the following day (the “Tournament”) I, for myself, my personal representatives, assigns, heirs, and next of kin:

1. ACKNOWLEDGE, agree, and represent that I understand the nature of paddling activities, both on the water and land based and that I am qualified, in good health, and in proper physical condition to participate in such Tournament. 

 

2. FULLY UNDERSTAND that:

(a) PADDLING AND FISHING ACTIVITIES INVOLVE RISKS AND DANGERS of serious bodily injury, including permanent disability, paralysis, and death (“risks”);

(b) these risks may be caused by my own actions, or inactions, the actions of others participating in the Tournament, the condition in which the Tournament takes place, or the negligence of the “releasees” named below;

(c) there may be other risks and social and economic losses either not known to me or not foreseeable at this time; and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND ALLRESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES I incur as a result of my participation in the Tournament.

 

3. AGREE AND WARRANT that I am solely responsible for my own safety, and will examine and inspect the conditions of the Tournament in which I take part and that, if I observe any condition which I consider to be unacceptably hazardous or dangerous, I will notify the proper authority in charge of the Tournament and will refuse to take part in the Tournament until the condition has been corrected to my satisfaction.

 

4. HEREBY RELEASE, discharge, and covenant not to sue organizers of the Cape Cod Canal One-Fly Fishing Tournament, its administrators, directors, shareholders, agents, officers, volunteers or employees, Tournament organizers, sponsors of the Tournament, the charitable organization Casting for Recovery wich is the beneficiary of the proceeds of the Tournament and any advertisers (each considered one of the releasees herein) from all liability, claims, demands, losses, or damages on my account caused or alleged to be caused in whole or in part by the negligence of the releasees or otherwise; and I further agree that if, despite this release and waiver of liability, assumption of risk, and indemnity agreement, I, or anyone on my behalf, makes a claim against any of the releasees, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS each of the releasees from any litigation expenses, attorney fees, loss liability, damage, or cost which may incur as a the result of such a claim.

 

I have read this agreement, fully understand its terms, understand that I have given up substantial rights by signing it and have signed it freely and without any induction or assurance of any nature and intend it to be a complete and unconditional release of all liability to the greatest extent allowed by law and agree that if any portion of this agreement is held to be invalid, the balance, notwithstanding, shall continue in full force.

 

 

Signature: ____________________________________________ Date: ____________________

 

 

 

Cape Cod Canal One-Fly Fishing Tournament on May 31, 2008 - Sign up form

$25 entry fee is fully tax-deductible. Visit the “Casting for Recovery” website

(http://castingforrecovery.org ) and see how your donations will be spent.

Check must be received by May 15, 2008. Check should me made

out to "Casting for Recovery"

Mail check and signed waiver to: Brenda Sears, P.O. Box 280, E. Dennis, MA 02641


Name of Participant: (please print)

_______________________________________________________________________

 

Street: ________________________________________________________________

 

City: __________________________________________________________________

 

State and ZIP: _________________________________________________________

 

Phone: ________________________________________________________________

 

Date: _________________________________________________________________

 

Division: (please check or circle one)

__ Fly     __Kayak

 
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