LONGEST RIVER TUBE FLOAT

Saturday, July 26, 2008

Registration Form

Will we break the record again?

 

 

NAME____________________________________________________

 

ADDRESS:________________________________________________

 

TELEPHONE NUMBER _____________________EMAIL__________

I am under the age of 19        _____Yes      ______No

 

The cost to register is $12.00 per person.  You may pay by cash, check, or money order.  Please make your check or money order payable to “Enderby Chamber of Commerce”.  This price includes the cost of the tube, which you may keep.

 

All participants and the parents or legal guardians of minors (under the age of 19) must complete e and sign the Release of Liability form on the second page.

 

Registration

To pre-register (recommended) please return this form along with your registration fee, to the Enderby & District Chamber of commerce and Visitor Center.

·                     Drop it off in person at the Chamber of Commerce, located at 700 Railway Street

·                     Mail it to Enderby Chamber of Commerce3, PO Box 1000, Enderby, BC V0E 1V0

If you do not pre-register, you may register at the registration desk in Belvidere Park, beginn9am on July 26.  Belvidere Park is beside the Enderby & District Chamber of Commerce.  Please pay by cash, check or money order.

 

The World’s Longest Tube Float begins at 1pm!!

 

The World’s Longest Tube Float ends at Tuey Park.  A shuttle bus will transport you back to Belvidere Park.

·                     All children aged 12 & under must wear a life jacket or a personal floatation device.  Life jackets & personal floatation devices are encouraged for all participants, regardless of age.

·                     All children ages 12 & under must be accompanied by a parent or legal guardian.

·                     No drugs or alcohol allowed.  Nobody under the influence of drugs or alcohol may participate.

·                     No exceptions and no refunds for anybody not complying with the above rules.

T-SHIRTS WILL BE AVAILABLE TO PURCHASE AT THE EVENT FOR $15.00 EACH.

Release of Liability, Waiver of Claims, Assumption of Risks and Indemnity Agreement

(In the case of a minor (under 19 years) both the minor and the parent/guardian must sign this form)

 

By registering as a participant in the Enderby Mardi Gras Tube Float & by signing this document, you will waive certain legal rights including the right to sue the Chamber of Commerce or any of the volunteers who have organized the Enderby Mardi Gras Tube Float (the “Volunteers”)

 

ASSUMPTION OF RISKS

I am aware that riding in the Tube Float involves inherent risks, dangers & hazards.  I freely accept & fully assume all such risks, dangers & hazards & the possibility of personal injury, death, Property damage & loss resulting there from.

 

RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT

In consideration of the Chamber & the Volunteers assisting in my participation in the Tube Float, I agree as follows:

1.                  TO WAIVER ANY AND ALL CLAIMS AND TO RELEASE THE CHAMBER OF COMMERCE AND THE VOLUNTEERS from any & all liability for any loss, damage expense or injury including death that I may suffer, arising from any cause whatsoever, INCLUDING NEGLIGENCE, BREACH OF CONTRACT, OR BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE, INCLUDING ANY DUTY OF CARE OWED UNDER THE OCCUPIERS LIABILITY ACT, R.S.B.C. 1996 c..337, relating to my participation in the Tube Float.

2.                  TO HOLD HARMLESS AND INDEMNIFY THE CHAMBER OF COMMERCE AND THE VOLUNTEERS from any & all liability for any damage to property of, or personal injury to, any third party, resulting from my participation in the Tube Float.

3.                  This agreement shall be effective & binding upon my heirs, next of kin, executors, administrators, assigns & representatives, in the event of my death or incapacity.

In entering into this agreement I am not relying upon any oral or written representations or statements made by the Chamber of Commerce & the Volunteers other than what is set forth in this agreement.

 

I HAVE READ AND UNDERSTAND THIS AGREEMENT AND I AM AWARE THAT BY SIGNING THIS AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS WHICH I, MY DEPENDANTS ON WHOSE BEHALF I HAVE SIGNED THIS AGREEMENT, OR HEIRS, NEXT OF KIN, EXECUTORS, ADMINISTRATIORS, ASSIGNS OR REPRESENTATIVES MAY HAVE AGAINST THE CHAMBER OF COMMERCE AND VOLUNTEERS.

 

____________________________________Date______________________

Print Name of Participant

 

 

_________________________________________________

Participant’s Signature

 

PARENT/GUARDIAN’S SIGNATURE. I represent that I am the parent or guardian of the minor and I have authority to enter into the Release of Liability on behalf of the minor.

 

 

__________________________________________________Date____________

Print Name of Minor            Signature of Minor

 

 

___________________________________________________Date___________

Print Name of Parent/Guardian  Signature of Parent/Guardian