REGISTRATION FORM 2008
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
