SUP Waiver - Boardsports

Transcription

SUP Waiver - Boardsports
105 Vanderhoof Avenue
TORONTO, ONTARIO M4G 2H7
1-800-665-9463
[email protected]
www.boardsports.ca
This is a Release of Liability, Waiver of Legal Rights, Assumption of Risk and Indemnity, and Declaration of
Fitness Agreement. By signing this document, you willfully waive certain legal rights, including the right to sue.
The BOARDSPORTS Stand Up Paddle (SUP) Boarding DEMO is a free event which provides participants with an
introduction to the sport and the opportunity to try SUP equipment. All participants must provide and wear a Canadian
Coast Guard Approved Lifejacket and be a competent swimmer.
I hereby release BOARDSPORTS (dba Windpromotions 1991 Inc) liability on behalf of myself, my children, my
parents, my heirs. I do hereby waive any and all claims release of negligence or strict liability arising out of my use or
misuse from products provided, stand up paddleboards, stand up paddles offered by BOARDSPORTS. I fully
understand, recognize, and acknowledge that Stand Up Paddling encompasses known and unanticipated risks which
could result in physical injury, with inherent risks and dangers, such as the possibility of injury to myself or others,
drowning, damages to the board, or boards, boats and watercraft of others and or death, which I nevertheless accept.
By signing this document, I acknowledge that if anyone is hurt or property is damaged during my participation in the
activity, I may be found in a court of law to have waived my rights to maintain a lawsuit against BOARDSPORTS, on
the basis of any claim which I have released them wherein. I understand and acknowledge all participants know how
to swim. I further agree to indemnify and hold harmless BOARDPORTS from claims brought by or on behalf of
minors under 18 in which anyway connected with use or participation by any minors. I agree to pay for any damage
done to boats of property incurred as a result of out participation.
PARTICIPANT INFORMATION
Name: First______________________________ Last:___________________________________M.I.____
Mailing Address: Street or P.O._____________________________________________________________
City_______________________ Province/State___________________Postal Code/Zip___________
Phone #_________________________________ Email_______________________________________
Date of Birth____________
Emergency Contact Person:______________________ Emergency Contact Phone:___________________
Would you like to be added to the BOARDSPORTS email list? Yes No
(sign up to be notified of promotions, events, gear sales, etc. – 100% private!)
DECLARATION OF FITNESS FOR STAND UP PADDLE BOARDING
I hereby declare that I am physically fit. I do not, and have not recently suffered from or undergone treatment for any
of the following conditions, which I understand may lead to a dangerous situation to other persons or myself while
Stand Up Paddle Boarding:
Epilepsy, fits, severe head injury, recurrent blackouts or giddiness, disease of the brain or nervous system,
high blood pressure, lung or heart disease, recurrent weakness or dislocation of any limb, diabetes, mental
illness, drug or alcohol addiction, recent back injury, arthritis and severe joint sprains, chronic bronchitis,
asthma, rheumatic fever, thyroid adrenal or other glandular disorder, recent blood donation or any condition
that required the regular use of drugs.
I hereby declare that I have no physical or mental condition that should preclude me from participating in my chosen
activity, and that I am not participating against medical advise or treatment, and that I have not been diagnosed by a
registered doctor as having a terminal illness. I further declare that in the event that I feel ill or unwell, have any
physical complaints whatsoever or if an injury is sustained of any kind during the DEMO, I will notify a
BOARDSPORTS representative immediately and that the representative has my permission to obtain appropriate
medical treatment for me if I am not in a condition to make such a decision myself.
I have read the above Declarations, understand them, and I agree to be bound by them.
________________________________ _________________________________ __________
Signature of Participant Name of Participant (please print) Date
________________________________ _________________________________ __________
Signature of Parent or Guardian* Signature of Witness Date
*Guardian signature required for participants under the age of 18 years, and by their signature, release the claims of both minor and
parent/guardian.
**If you cannot sign the above declaration because of any of the above conditions, you must notify the instructor before commencing any activity.