Waiver and Release of Liability form
Attachment A – Adult Registrants
MOORE FLATS FISHING WAIVER AND RELEASE OF LIABILITY AGREEMENT
READ BEFORE REGISTERING FOR ANY MFF COMPETITIVE EVENT AND/OR SIGNING THIS AGREEMENT
In consideration of being allowed to participate in any way in the Moore Flats Fishing’s Event and its related competition and activities, I, the undersigned (or registrant), being at least 18 years of age, acknowledge, appreciate, and agree that:
I affirm that my participation in any MFF Event is voluntary and declare that I am physically fit and capable to participate in such; and
I acknowledge that kayak fishing participation and competition involves certain inherent dangers, and hazards; that the risk of injury from the activities involved in this event is significant, including the potential for permanent paralysis and death, and while particular skills, physical fitness, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and,
I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,
I willingly agree to comply with the stated and customary Terms and Conditions for Participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and immediately bring such to the attention of the Tournament Director; and,
in full recognition and appreciation of the dangers and risks inherent in such activities, I, for myself and on behalf of my heirs, executors, administrators and assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS MOORE FLATS FISHING and its owners, officers, managers, officials, volunteer event staff, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, event service and technology providers, and, if applicable, owners and lessors of premises used for the activity (“Releasees”), with respect to any and all injury, disability, death, or loss or damage to person or property, whether arising from the negligence of the releasees or otherwise, to the fullest extent permitted by law, and I hereby waive, release, and forever discharge Releasees from and against any and all claims, demands, actions, or causes of action, for costs, loss, expenses, or damages to personal property, or personal injury, or death, which may result from my participation in the MFF Event.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
_____________________________________ x______________________________________
Participant’s Name (Print) Participant’s Signature
_____________________________________ ___________
Date of Signing Participant’s Age
(Note If Participant is under 18 years of age, do not use this form. Registrant and Adult Supervisor must use Attachment B – Youth Registrants)
Waiver and Release of Liability Form (Under 18)
Attachment B – Youth (under age 18)
MOORE FLATS FISHING WAIVER AND RELEASE OF LIABILITY AGREEMENT
READ BEFORE REGISTERING FOR ANY MFF COMPETITIVE EVENT AND/OR SIGNING THIS AGREEMENT
In consideration of being allowed to participate in any way in the Moore Flats Fishing’s Event and its related competition and activities, I, the undersigned (or Registrant), being under the age of 18, acknowledge, appreciate, and agree that:
I affirm that Registrant’s participation in any MFF Event is voluntary and declare that Registrant is physically fit and capable to participate in such; and
I acknowledge that kayak fishing participation and competition involves certain inherent dangers, and hazards; that the risk of injury from the activities involved in this event is significant, including the potential for permanent paralysis and death, and while particular skills, physical fitness, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and,
Registrant (and Adult Parent, Guardian, or Designated Adult Supervisor) KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for Registrant’s participation; and,
Registrant willingly agrees to comply with the stated and customary Terms and Conditions for Participation. If, however, Registrant or Adult Supervisor observes any unusual significant hazard during my presence or participation, I will remove myself from participation and immediately bring such to the attention of the Tournament Director; and,
in full recognition and appreciation of the dangers and risks inherent in such activities, I, for myself and on behalf of my heirs, executors, administrators and assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS MOORE FLATS FISHING and its owners, officers, managers, officials, volunteer event staff, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, event service and technology providers, and, if applicable, owners and lessors of premises used for the activity (“Releasees”), with respect to any and all injury, disability, death, or loss or damage to person or property, whether arising from the negligence of the releasees or otherwise, to the fullest extent permitted by law, and I hereby waive, release, and forever discharge Releasees from and against any and all claims, demands, actions, or causes of action, for costs, loss, expenses, or damages to personal property, or personal injury, or death, which may result from Registrant’s participation in the MFF Event.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
_____________________________________ x______________________________________
Registrant’s Name (Print) Registrant’s Signature
_____________________________________ ___________
Date of Signing Registrant’s Age
[ ] I will serve as Adult Supervisor and will accompany Registrant while he is on the water during competition hours.
[ ] In place of or in addition to me, the Adult Registered angler designated below will act as the Adult Supervisor and will accompany Registrant while he is on the water during competition hours.
_____________________________________ x______________________________________
Parent’s or Guardian’s Name (Print) Parent’s or Guardian’s Signature
_____________________________________ x______________________________________
Designated Adult Supervisor’s Name (Print) Designee’s Signature