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REGISTRATION FORM 2009
Click
here for printable version
Name
Age
Address:
City
State
Zip
Entry Fee $75.00 (15 days in advance) $100.00
(14 -2days prior to Captain Meeting) Jr. .Angler
$25.00
Circle one
If Team Competitor –Team Name
Phone _____
Email
T-shirt size
S M L XL XXL XXXL __
Select One
We can not guaranty size of T-Shirts on
entries received less than 15days prior to Captain Meeting.
Event Corpus Port Isabel Port O’Conner Kingsville
Aransas
Select date for
this registration form
STATEMENT OF
UNDERSTANDING FOR PARTICIPATION IN: Third Coast Kayak Fishing
Series.
In consideration
of my entry being accepted for participation in the Third coast Kayak Fishing
Series, I do hereby state that I understand that the purpose of signing this
document is to exempt and release Third Coast Kayak Fishing Series, its
employees, its agents, its endorsers and sponsors, administrators, successors,
and assigns, including their officers, directors, stockholders, employees,
owners, managers, operators, representatives, agents, insurers, successors, and
volunteers, from each and every action and claim for damages, in law in
admiralty, or in equity, arising from my association, entry or participation in
the Third Coast Kayak Fishing Series. And hold these entities harmless
from any and all liabilities arising as a consequence of the following, or any
other acts or omissions on their part, including but not limited to negligence.
I understand that there are inherent risks involved with Paddle sport, fishing,
wading in the water and swimming including but not limited to perils of the sea
& or waterways, act of the other participants & adverse sea &
weather conditions & I hereby assume such risks. I certify that my physical
condition and training are adequate to enable me to compete safely in the
Third Coast Kayak Fishing Series, and I acknowledge that I am familiar
with paddling and the risk associated and I will not hold Third Coast Kayak
Fishing Series or their employees, agents, endorsers or other associated
personnel or companies responsible if I am injured as a result of ANY problems
(medical, accidental, or otherwise) which occur while paddling, fishing, or
other wise participating in the contest. I am also aware of the risks associated
with the weather conditions that prevail on water at any time of the year:
varying water temperatures, strong currents, choppy waters and marine animals. I
also understand that pleasure and fishing craft share the waters and may be a
danger. I specifically acknowledge that I am aware of the risks in Boating &
Fishing and agree to assume those risks. If I should suffer illness or injury
during the event I realize that medical care must be summoned & treatment
will be delayed until I can return to shore & or be transported to a proper
care facility. I agree in advance to these conditions. I will be present for the
Captains meeting and be attentive to any information concerning conditions,
which may cause me danger. If there is anything I have been told that I do not
understand, I will immediately inform an official representative of the event. I
authorize the officials of the event to use their discretion to have me
transported to a medical facility and this Waiver and Release of Rights applies
fully to such actions. I hereby grant full permission to any and all of the
sponsors of this event or their representatives to use any photographs, motion
pictures, video tapes, recordings or any other records of this event for any
purpose whatever including commercial use. I UNDERSTAND I HAVE A DUTY TO
EXERCISE REASONABLE CARE FOR MY OWN SAFETY & I AGREE TO DO SO. I will
immediately stop my trip if paddling conditions are worse than those for which I
have been trained or for which I have experienced. Neither, Third Coast Kayak
Fishing Series nor its endorsers, employees, sponsors, nor agents
have made any representations to me, implied or otherwise, that they can or will
perform safe rescue or first aid. In the event I become distressed or call for
first aid, I would like assistance and will not hold Third Coast Kayak
Fishing Series their employees, volunteers or other competitors responsible
for their actions in attempting the performance of rescue or first aid. I
understand I have a duty to inspect the equipment I will be using; I will not
hold anyone other than myself responsible for my failure to inspect my equipment
prior to paddling. I understand that I am entering this event at my own risk and
assume all risk of the hazards and dangers associated with this event. I
understand that the event may not be cancelled or altered due to weather
conditions. I agree to forever discharge and release Third Coast Kayak
Fishing Series, its employee(s), endorser(s), agent(s), owner(s), agent(s),
volunteer(s), and sponsor(s) from any and all responsibility or liability for
any and all injuries or damages. I agree NOT to make a claim against or sue any
of the above parties for injuries or damages, whether they arise or result from
any NEGLIGENCE, GROSS NEGLIGENCE OR OTHER LIABILITY. I further specifically
agree, on behalf of myself, my heirs, & assigns to & indemnify &
hold harmless the released parties for any & all causes of action arising as
a consequence of any incidents which might occur as a consequence of my
participation in any activities with or involving the released
parties.
I
HAVE READ THIS AGREEMENT, AS WELL AS THE RULES OF THE CONTEST UNDERSTAND IT
& AGREE TO BE BOUND BY IT FROM THE DATE OF MY SIGNATURE & FOREVER INTO
THE FUTURE.
Signature:
Date:
Release Waver for Participation
in Third Coast Kayak Fishing Series (TCKFS) including Captains Meetings &
Weigh-ins must me signed and returned prior to the Captains Meeting in order to
participate. All participate under the age of 18 must have Parent or Legal
Guardians present at the Captains Meeting. Release waver can be printed from our
web site
www.thirdcoastkayaksereis.com
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