New or Returning Members
Waiver of Liability Form
Learn to Row Registration
Pay Dues and Fees
Orlando Rowing Club Inc. Waiver of Liability Form
In consideration of being given the opportunity to participate in the programs and activities of the Orlando Rowing Club, Inc.,
referred to as ORC, for myself, my personal representatives, assigns, heirs, and next of kin:
1. I ACKNOWLEDGE, agree, and represent that I understand the nature of rowing, dragon boat and related activities, both on
the water and land-based, and that I am qualified, in good health, and in proper physical condition to participate.
2. I FULLY UNDERSTAND that:
ROWING, DRAGON BOAT AND RELATED ACTIVITIES INVOLVE RISKS AND DANGERS of serious bodily injury,including permanent disability, paralysis, and death (“risks”);
These risks may be caused by my own actions, or inactions, the actions , or inactions, of others participating in theprograms and activities of ORC, the conditions in which the programs and activities take place, or the negligence of the“releasees” named below;
There may be other risks and social and economic losses either not known to me or not 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 ORC programs and activities.
ORC will not be held responsible or liable for any loss or damage to any equipment owned or leased by club members. It shall be the member’s responsibility to provide adequate insurance to cover equipment in the event of loss ordamage. Members storing and/or using privately owned or leased equipment shall be liable for any and all damages incurred as a result of moving equipment around, into and out of the boathouse, ORC’s property, the property of the City of Orlando and all related damage or accidents while in the act of rowing.
3. I AGREE AND WARRANT that I shall be cautious and make every effort to safely move equipment between the boathouse,
city property and Lake Fairview and report to the ORC Administrative Staff any damage created by myself to my equipment or to
ORC’s equipment or equipment owned or leased by ORC members, Women Playing for Time (WPFT) members or the Power
10 Rowing Association.
4. I HEREBY RELEASE, discharge, and covenant not to hold liable nor sue ORC, its administrators, directors, agents, officers
volunteers and employees, and other participants, club organizers, any sponsors, advertisers, and, if applicable, owners and
lessors of premises on which ORC activities and programs take place (each considered one of the releasees 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 releasees or otherwise, including negligent rescue operations; and. I further agree that if, despite this release 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, damages, or costs which they may incur 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 release 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.
If applicant is under the age of 18, a parent or legal guardian must sign this form.
Email and home address
PLEASE PROVIDE EMAILS AND HOME ADDRESS
ARE YOU SIGNING UP FOR A LEARN TO ROW
PLEASE ANSWER YES OR NO AND MONTH CLASS BEGINS
Local Emergency Contact
Emergency Contact Phone
By my signature below, I hereby certify that I have the sufficient ability to swim to shore in the event of an accident including (without limitation) the capsize of any boat and its ineffectiveness as a floatation device, whether in a lake, river or otherwise.
By signing here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By signing here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.
PARENT SIGNATURE IF UNDER 18/OR ROWER SIGNATURE 18+