Rowgue Rowing Camps
Waiver
IN CONSIDERATION of being given the
opportunity to participate in the Rowgue Varese Camp, 2013
I, for myself, my personal
representatives, assigns, heirs, and next of kin:
1.
ACKNOWLEDGE,
agree and represent that I understand the nature of Rowing Activities, both on
water and land based, and that I am qualified, in good health, and in proper
physical condition to participate in such Activity.
2.
FULLY
UNDERSTAND that: (a.); ROWING ACTIVITIES INVOLVE RISKS AND DANGERS of serious
bodily injury, including permanent disability, paralysis and death
("Risksî); (b.) these Risks and dangers may be caused by my own actions,
or inactions, the actions or inactions of others participating in the Activity,
the condition in which the Activity takes palace, or the negligence of the
Releases names below; (c.); there may be other risks and social and economic
losses either not known to me or not readily foreseeable at this time; and I
FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND ALL RESPONSIBILITY FOR LOSSES,
COSTS, AND DAMAGES I incur as a result of my participation in the Activity.
3.
AGREE AND
WARRANT that I will examine and inspect each Activity in which I take part as a
member of the Camp 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 Activity and will refuse to take part in the Activity until the
condition has bee corrected to my satisfaction.
4.
HEREBY
RELEASE, discharge, and covenant not to sue Rowgue LLC, Peter Orlando, Carlos Dinares,, Cannottaggio Varese, their
administrators, directors, agents, officers, volunteers and employees, other
participating camp organizers, and if applicable, owners, operators and lessors
of premises, on which the Activity takes place, (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, including negligent rescue operations; 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 any may incur as a result of such claim.
I have read this agreement, fully
understand its terms, understand that have given up substantial rights by
signing it and have signed it freely and without any inducement or assurance of
any nature and intend it 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 and effect.
Printed Name of
Participant:_______________________________________ Date:_____________________
Address:___________________________________________________________________________________
__________________________________________________________
Phone:__________________________
Signature (only if age 18 or
over)
____________________________________________________________
Phone:________________________
Parent/Guardian Signature (only
if participant is under the age of 18)
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