In order to participate in the Portsmouth Paddle Battle you must complete and return this form. Please either

 

  • print it out, complete it and e-mail it to info@friendsofportsmouthnsm.org or fax it to 866-241-4276, or

  • print it out, complete it, take a picture of the completed form and text it to 202-236-7012, or

  • complete it on your cell or laptop and send it by one of the ways described above.

 

You will also be able to complete it on Race day at the Registration table, however, this may delay your getting into the water. For your convenience, a PDF version of this form can be found at the bottom of this page.

 Portsmouth Paddle Battle Waiver of Liability

 

______________________________                                            ___________________________

Name of Paddle Battle Participant                                              Your e-mail

__________________________________________________            ____________________________

Your address                                                                           Your Phone

 

  1. I hereby acknowledge, appreciate and agree that the risk of injury from the activity of kayaking or SUP-ing in the Portsmouth Paddle Battle is significant including the potential for permanent paralyses and death. I knowingly and freely assume all such risks both known and unknown and assume full responsibility for my participation in Paddle Battle.

  2. I understand the nature of the activity and I am qualified and am in good health and in proper physical condition to participate in the activity.

  3. I agree to participate wearing a helmet and personal flotation device. I realize that there may be other risks not known to me or not readily foreseeable, but I fully accept and assume all such risks whether or not identified above.

  4. I understand that I may be photographed or videotaped during the event, and my photo may be used for marketing purposes.

  5. I, for myself and on behalf of my heirs, assigns, executors, estate trustees, personal representatives and next-of-kin hereby release, indemnify and hold harmless The Friends of the Portsmouth Naval Shipyard Museum Inc., the City of Portsmouth, the Paddle Battle officers, officials and volunteers, and their respective employees, officers, directors, members and officials, and their respective heirs, successors and assigns (collectively, the “Released Parties”) from any and all personal injury, property damage and other loss or injury to myself arising from my participation in Paddle Battle, including if arising from the negligence of the Released Parties, and agree that my hold harmless includes any claim made by any third party in connection with any negligence or misconduct on my part.

  6. I have read the foregoing waiver and liability release fully. By signing below, I understand its terms, understand that I have given up substantial rights and signed it freely and voluntarily without inducement.

    ________________________________________________________
    Signature (Sign and Print Name)

      _________________________

      Date

___    Put a check here If you are a parent/guardian signing for a minor child participant, in which case your signature confirms that you are signing for yourself and your minor.

PDF Portsmouth Paddle Paddle Waiver of Liability