Black Swamp Rowing - Waiver of Liability
In Consideration of being given the opportunity to participate in any Black Swamp Rowing activity, including scheduled, supervised club activities at Toledo Sailing Club, and registered regattas, during the 2023 Spring Season, I, for myself, my personal representatives, assigns, heirs, and next of kin:

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

2.  I FULLY UNDERSTAND that: (a) ROWING ACTIVITIES INVOLVE RISKS AND DANGERS of serious bodily injury, including permanent disability, paralysis and death ("Risks"); (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 place, or the negligence of the Release named below; (c) there may be other risks and social, economic losses either not known to me or not readily foreseeable at this time; and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND RESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES I incur as a result of my participation in the sport of rowing.

3. I AGREE AND WARRANT that I will examine and inspect each activity in which I take part as a member of BLACK SWAMP ROWING 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 been corrected.

4.  I HEREBY RELEASE, discharge, and covenant not to sue BLACK SWAMP ROWING, INC., THE TOLEDO SAILING CLUB, their administrators, directors, agents, officers, volunteers and employees, other participating organizers, any sponsors, advertisers, and if applicable, owners and lessors of premises, on which the activity takes place, (each considered one of the releases herein) from 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 release 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 incur as a result of such claim, to the fullest extent permitted by law.
Sign in to Google to save your progress. Learn more
Email *
Parental Consent
I, the minor's PARENT/LEGAL GUARDIAN, understand the nature of rowing activities and the minor's experience and capabilities and believe the minor to be qualified to participate in such activity.  I hereby release, discharge, covenant not to sue, and AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS each of the Releasees from all liability, claims, demands, losses, or damages on the minor's account caused or alleged to be caused in whole or part by the negligence of the Releasees or otherwise, including negligent rescue operations, and further agree that if, despite this release, I, the minor, or amyone on the minor's behalf makes a claim against any of the above Releasees, I WILL INDEMNIFY, SAVE AND HOLD HARMLESS each of the  Releasees from any litigation expenses, attorney fees, loss, liability, or cost any may incur as the result of any such claim, to the fullest extent permitted by law.
Name of Participant: *
Date of Birth:     MM/DD/YYYY *
Name of Parents/Legal Guardian(s) *
Address: *
Phone Number: *
Electronic Signature:
I, the Parent/Guardian of the above named minor , warrant the truthfulness of the information provided in this application.
 

By signing this Waiver of Liability form by Electronic Signature, I agree that my electronic signature is the legally binding equivalent to my handwritten signature.
First & Last Name of Parent/Guardian *
Date: *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy