back to Reserve a small boat class                                         
                                               ASSUMPTION OF RISK AND RELEASE OF LIABILITY

Participant Name  (print clearly)________________________________  
Sex:   M____  F____       Birthdate___________________
Address:   City___________________State______        Zip code_________
Home phone_______________________     Work phone_______________    
Cell phone___________________________
E-mail_______________________________  (for office use only)
Emergency name to call_________________________________            
Emergency phone_________________________________

Injuries to participants in small watercraft programs may occur from risks inherent in the sport or activity or from the participants own actions.  
For examples, a sailboat boom can unexpectedly swing across the boat, hitting and injuring a head or other body part.
Injury can happen to a body from placing stress on that body that it is not prepared for; from accidents in learning or practising techniques; from failing to follow training, safety or racing rules; from the use of transportation to and from events and from the administration of first aid.  For example, I might slip and fall; I might be struck by a part of a boat; my boat might capsize or I might be thrown overboard into water that by the official US Coast Guard definition is "cold water" and suffer hypothermia or be stung by, for example, a jelly fish; my boat might hit another boat or an obstruction or the shore and the collision injure me.  The severity of any of these example injuries can range from minor cuts and scrapes to muscle strain to catastrophic injury or even death.  I will be exposed to the weather, including rain, wind, cold and sun and therefore I could become ill through chill, sunburn, heat exhaustion or heat stroke.  In order to avoid injuries or illness, I will obey the directions of my instructors and will follow all safety rules.  I will wear cold water clothing, wear a non-inflatable personal flotation device (PFD), carry a water bottle and snacks in order to remain hydrated and full of energy.  I will tell my instructors about any limitations or medical restrictions on my participation.  In consideration for my acceptance as a participant, I agree to assume the risks, release and hold Camano Sail and Power, LLC, and Washington State Parks, their sponsoring organizations and their employees, agents and volunteers harmless from claims for injuries and damages, which may occur from or as a result of my participation in the program.  I agree that this assumption of risk and release shall bind my heirs and my estate.
Participation authorized, risks assumed and release granted. The authorizing signature below acknowledges having read all of the statements above and having asked for and received clarification or explanation if said statements were not understood.  Participant's signature required plus the signature of a parent or guardian if the participant is under 18 years of age.

_____________________________________        _________________________________________
Printed name of Participant                                                     Signature of Participant                                      Date_____________

_____________________________________         _________________________________________
Printed name of Parent or Guardian                                         Signature of Parent or Guardian                          Date______________