legal name as appears on government issued ID
_________________
The person signing this form for the minor
Paddling History:
Please briefly indicate your experience paddling. For example, in the past 10 years, how many regatta seasons have you participated in?/n/nLCC welcomes new paddlers, and for your safety and the safety of all our members, you'll be required to participate in a series of training sessions in March, before you are allowed to paddle in a six person canoe with us. Mahalo nui for your kōkua to keep us all safe.
If you have paddled with ILH, OIA, Na'Oipo, Keiki, or are transferring to LCC from another canoe club, please provide the name/organization and of the club and the most recent year you were active. (limited to 250 characters)
Are you able to confidently swim 100+ yards in open ocean conditions and stay afloat for 20 minutes?
REMINDER - A canoe can flip over unexpectedly at any time. You need to be able to tread water until help comes or you can get back into the canoe or to shore.
If you have paddled before, please state the club and year (most recent)
What was the LAST classification and/or age group you paddled in? (Check all that apply)
Military Service Member
Current, Retired, or Veteran
Is there anything else you would like us to know?
We are always looking for volunteers! Please describe any special skills, talents, or interests you could assist with.
Please Upload Government Issued ID
passport, DL, Birth Cert for keiki...
Please upload a current Paddler headshot
no sunglasses or hats please
HCRA and Insurance Waiver
Hawaiian Canoe Racing Association Insurance Program
Adult and Minor Waiver and Release of Liability
January 1, 2025 to December 31, 2025
In consideration of being allowed to participate in any way in the Hawaiian Canoe Racing Association and its member organizations’ athletics/sports programs, and related events and activities, the undersigned:
1. Agree that prior to participating, they each will inspect the facilities and equipment to be used, and if they believe anything is unsafe, they will immediately advise their coach or supervisor of such condition(s) and refuse to participate.
2. Acknowledge and fully understand that each participant will be engaging in activities that involve risk of serious injury, including permanent disability and death, and severe social and economic losses which might result not only from their own actions, inactions or negligence, but the action, inaction or negligence of others, the rules of play, or the condition of the premises or of any equipment used.Further, that there may be other risks not known to us or not reasonably foreseeable at this time.
3. Assume all the foregoing risks and accept personal responsibility for the damages following such injury,permanent disability or death.
4. Release, waive, discharge and covenant not to sue the Hawaiian Canoe Racing Association, its member associations, its affiliated clubs, their respective administrators, directors, agents, coaches, and other volunteers or employees of the organization, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and leasers of premises used to conduct the event, all of which are hereinafter referred to as “releasees”, from demands, losses or damages on account of injury, including death or damage to property, caused or alleged to be caused in whole or in part by the negligence of the releasee or otherwise.
The undersigned custodial parent or legal guardian acknowledges that he/she is also signing this release on behalf of the minor participant, that he/she is waiving certain rights on behalf of the minor participant that the minor participant otherwise may have and that the minor participant shall be bound by all of the terms of this release. By signing this waiver and release without a parent’s or guardian’s signature, the participant represents he/she is at least 18 years of age, or, if signing as the parent or guardian of the participant, signer represents they are the custodial parent or legal guardian of the minor participant.
THE UNDERSIGNED HAVING READ THE ABOVE WAIVER AND RELEASE, UNDERSTAND THAT THEY HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND SIGN IT VOLUNTARILY
I have read the above and I consent
OHCRA Release of Liability
In consideration of being allowed to participate in sports, recreational, and related events of any kind, the undersigned releases from liability the Oahu Hawaiian Canoe Racing Association and its member organizations, affiliated clubs, their administrators, directors, agents, coaches,volunteers or employees, other participants,sponsoring agencies, sponsors, advertisers, and owners and leasees of premises where activities or events are conducted, hereinafter referred to as “Releasees,” in full understanding and agreement that:
1. Paddling and other club activities are inherently dangerous, involving risk of serious injury, including permanent disability and death, and severe social and economic losses which might result from the actions, inactions or negligence of their own or of others, the rules of play, or the condition of the premises or of any equipment used. Risks may be unknown, and not reasonably foreseeable.
2. Prior to participating, it is paddler's responsibility to inspect the facilities and equipment to be used, and if they believe anything is unsafe, to immediately advise their coach or supervisor of such condition(s) and refrain from participating. Paddlers will follow all rules and instructions relating to conduct and safety.
3. They understand and assume all risk associated with participating, and release, waive and discharge Releasees from liability for demands, losses or damages on account of injury, including death or damage to property related to participation.
*Paddling and other club activities are inherently public, taking place on beaches, open water and other locations open to the public. Photographs may be taken by Releasees or by members of the public. I hereby grant Releasees the right to use paddler's photograph or recording in any and all forms of media and in all manners including, but not limited to edited, or composite media formats, for the purpose of documenting the perpetuation of the art of the sport of Hawaiian Outrigger Canoe training, rigging, paddling and racing; for news release, art, advertising, trade or any other lawful purpose whatsoever; and release, discharge, and agree to save Releasees from any liability by virtue of blurring, distortion, or alteration whether intentional or otherwise, that may occur or be produced in the making of said images.
The undersigned custodial parent or legal guardian acknowledges that he/she is also signing this release on behalf of the minor participant, that he/she is waiving certain rights on behalf of the minor participant that the minor participant otherwise may have and that the minor participant shall be bound by all of the terms of this release. By signing this waiver and release without a parent’s or guardian’s signature, the participant represents he/she is at least 18 years of age, or, if signing as the parent or guardian of the participant, signer represents they are the custodial parent or legal guardian of the minor participant. THE UNDERSIGNED HAVING READ THE ABOVE WAIVER AND RELEASE, UNDERSTAND THAT THEY HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND SIGN IT VOLUNTARILY.
I have read the above and I consent
I the undersigned am the applicant named above, aged 18 or older, or am the Legal Parent/Guardian of the minor child applying for membership named above. My (or my minor child's) participation in LCC events, programs, or activities of any kind, are conditioned upon my agreement to the following/n/n*All members must adhere to all club rules as found in the operations manual./n*Activities of LCC may be suspended or rescheduled due to circumstances outside of LCC's control.
*LCC membership/activity fees are non-refundable, non-transferable, and not prorated.
*I (or my child) will inspect the facilities and equipment prior to use and will notify a coach or other supervisor if any unsafe or improper condition is discovered, and will refuse to participate.
*I acknowledge and fully understand that participation in LCC activities, events, races, practices, programs, or any activity (hereinafter LCC Activities) is an inherently dangerous activity which involves risk of serious injury, including permanent disability, death, or other losses. Risk may arise from any number of circumstances including, but not limited to, the actions or inactions of the participant or other persons, the rules of play, the condition of the premises or equipment. Risk, whether known or unknown, reasonably forseeable or not, are inherent in paddling and LCC Activities. I understand and assume the risks.
*I accept personal responsibility and assume the liability for any damages incurred associated with the risks of participation.
I release, waive, discharge and covenant not to sue the Lanikai Canoe Club, their respective administrators, directors, agents, coaches, and other volunteers or employees of the organization, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and leasers of premises used during participation, (hereinafter LCC Parties).I assume all risks associated with losses or damages arising from my participation in LCC Activities, whether due to LCC Parties' negligence or otherwise.
Photo Release: The intended use(s) of photo/video: Documentation of the perpetuation of the art of the sport of Hawaiian Outrigger Canoe training, rigging, paddling and racing.
I hereby grant Oahu Hawaiian Canoe Racing Association (OHCRA) and Lanikai Canoe Club (LCC) the right to use my/child's picture, photograph, and/or voice recording in any and all forms of media and in all manners including, but not limited to, composite or edited forms, for OHCRA and LCC’s use.
I hereby grant OHCRA and LCC the absolute right and permission to copyright and/or publish images captured through video, photo, or digital camera, of which I may be included in whole or part, for news release, art, advertising, trade, or any other lawful purpose whatsoever.
I hereby waive any right that I may have to inspect and/or approve the finished product or the copy that may be used in connection therewith, or the use to which it may be applied.
I hereby release, discharge, and agree to save OHCRA and LCC from any liability by virtue of any blurring, distortion, alteration, optical illusion, or use in composition form, whether intentional or otherwise, that may occur or be produced in the making of said images, or in any processing tending towards the completion of the finished product.
THE UNDERSIGNED HAVING READ THE ABOVE WAIVER AND RELEASE, UNDERSTANDS THAT THEY HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING, AND SIGN VOLUNTARILY.
I have read the above and I consent
Signature
Adult Paddler or, for minors, the Legal Guardian/Parent listed above must sign for the minor.
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