Sequim Bay Yacht Club /
CONSENT AND RELEASE FROM LIABILITY FORM
Activity, as used herein, shall include any organized, supervised or authorized rowing activities, on or off the water,
which a member or guest of Sequim Bay Yacht Club (SBYC) or an affiliated group may engage in.
In consideration of being given the opportunity to participate in any Sequim Bay Yacht Club (“Club”) activities (“Activity”)
until the end of this calendar year, I, for myself, my personal representatives, assigns, heirs, and next of kin:
ACKNOWLEDGE, agree and represent that I understand the nature of Rowing Activities, both on water and land, and
that I am qualified, in good health and in proper physical condition to participate in such activity. I certify that I have
passed a swimming competency exam, which demonstrated my ability to tread water for 10 minutes, swim 50 yards,
and don & inflate a PFD.
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
inaction’s, the actions or inaction’s of others participating in the Activity, the condition in which the activity takes place,
or the negligence of the Releases 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 ALL
RESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES I incur as a result of my participation in the Activity.
AGREE AND WARRANT that I will examine and inspect each Activity in which I take part as a member of the Club 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 to my
satisfaction.
HEREBY RELEASE, discharge, and covenant not to sue USRowing, SBYC, their administrators, directors, agents,
officers, volunteers and employees, others participating, regatta organizers, any sponsors, advertisers, and if
applicable, owners and leasers of premises on which the Activity takes place. (each considered one of the Releases
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 Releases 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 occur as a result of
such 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 inducement or assurance of any nature and intend it to be a
complete and unconditional releases 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.
Participant’s Name (Print) Signature Date
Parent/Guardian’s Name (Print) (if under 18) Signature
Street Address City, State Zip
Home Phone Cell Phone
Emergency Contact Relationship Phone |