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For paddlers under 18 years of age, please complete Parent Guardian Information:
Parent must sign for minor children, under 18 yrs of age.
Hawaiian Canoe Racing Association Insurance Program
Adult and Minor Waiver and Release of Liability
January 1, 2025 to December 31, 2025
Leeward Kai Canoe Club
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
Leeward Kai CC COMMUNICATION AGREEMENT - All paddlers must have one adult registered on our Band App. Please enter an email address to get the link to register, you agree to receive message alerts from Leeward Kai Canoe Club, Inc. via the Band App. All messages are strictly club related and will not include solicitations of any kind. I give permission for Leeward Kai Canoe Club to communicate via Band App.
Leeward Kai CC CODE OF CONDUCT
1.Treat all fellow members and the general community with respect, honesty, fairness and aloha.
2.Demonstrate Respect for: self, other members, competitors and the club family, coaches, officers and board members of the club, the environment – especially the ocean, the sport and culture of canoe paddling, club equipment and property.
3.Attend scheduled practices and notify coach when not able to participate in practices.
4.Volunteer for, participate in and support club activities, events, races and committees.
5.Strive to achieve personal best both physically and mentally and support others in this effort
Refrain from all negative behaviors such as violence, physical or verbal abuse.
6.Ensure you place the best interests of the club and crew before your own personal aspirations.
7.As a paddler, if I have a complaint, I will first talk to my coach. If I feel my complaint isn’t being addressed properly, I will talk to the Head Coach. If I still feel that my complaint has not been addressed, I will talk with the Club Vice President. I understand that if a matter is brought to the Vice President, she will automatically bring the matter before the Board for consideration and resolution.
I understand that it is my responsibility to uphold the Code of Ethics and Conduct. I understand that the club promotes an open forum of communication and that l should follow the procedures to make myself heard. I understand that I have the power and responsibility to make a positive difference in my club and community. Given just cause, I understand that the Board of Directors does have the right to revoke my membership.
Mahalo!
AS A MEMBER OF LEEWARD KAI CANOE CLUB, MY ACKNOWLEDGEMENT BELOW INDICATES THAT I AGREE WITH THE ABOVE WRITTEN “MEMBER CODE OF CONDUCT” AND I PROMISE TO FOLLOW AND UPHOLD THE SAME.
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.
4. 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.
(Adult Paddler, or the Legal Guardian/Parent for a Minor under age 18)
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