RELEASE
...Print this out, fill it out, and send it in with your registration...
I wish to participate in the Canoeing for Kids Raft-A-Rama/CANOE-A-THON 2008 to be held in Columbia, South Carolina, on May 10, 2008, on the Saluda River in Columbia, South Carolina.
I acknowledge that I am fully aware that this activity that I will be engaged in, i.e., canoeing or boating on the river, entails certain inherent risks including damage to property, personal injury, and even death. Therefore, in consideration for the Canoeing for Kids Corporation, and the City of Columbia and the State of South Carolina for allowing me to participate in this event, I agree to assume all such risks in my participation and hereby do release and discharge the City of Columbia, the State of South Carolina, and the Canoeing for Kids Corporation and their officers, sponsors, trustees, employees, or agent and any other aids and/or volunteers participating in this activity from any and all liability for any and all damage, loss, injury, or death of every kind and nature whatsoever which in any way arises out of my participation in this activity.
In further consideration of being permitted to participate in this activity, I further agree to indemnify and to hold forever harmless the City of Columbia, the State of South Carolina, and the Canoeing for Kids Corporation and their officers, sponsors, trustees, employees, and any other agents and any other aids and/or volunteers participating in this activity, against any and all claims, demands, or action which may be at any time hereafter made or instituted against the City of Columbia, State of South Carolina, and the Canoeing for Kids Corporation, and/or any of their officers, sponsors, trustees, employees, and any other aid and/or volunteers participating in this activity.
I further grant Canoeing for Kids Corporation and their
licensees the right to use my name, likeness, portrait, and recorded voice in connection
with any broadcast of this event by South Carolina Public Television Network, South
Carolina Public Radio, and further nonprofit institutes in order to advertise, or promote,
and publicize, the Canoeing for Kids Canoe-a-thon.
I hereby certify that I am a competent swimmer, and that I
have read this document carefully and voluntarily agree to its terms.
Signature Age Date
1.__________________________________________________________________
2.__________________________________________________________________
3.__________________________________________________________________
4.__________________________________________________________________
Parent/Guardian Release
For above entrant under 18 years of age, the following must be complete by a parent or guardian:
I, ________________________________, being the parent or legal
guardian of entrant, _____________________________ who is _____ years old, do hereby
consent that the above mentioned entrant may participate in the Canoeing for Kids
Canoe-a-thon. I do hereby join in and adopt entirely the above recited Release from
Indemnification.
Signature_____________________
Date__________________________