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Regatta Participation Travel and Medical Release

Including Authorization and Consent for healthcare Treatment of a Minor

I, the parent or legal guardian of the rower (hereafter called "rower" or "child") for whom I am completing registration, do hereby authorize Capital City Rowing (CCR), including its officers, directors, coaches, or parent volunteers/chaperones (collectively “Authorized Persons”) to transport my rower to regattas and other sporting events located anywhere in the United States.  I also consent and grant specific permission for Authorized Persons to seek and give appropriate medical attention for our child in the event of accident, injury, illness.  To the extent any medical emergency arises, I authorize and direct  Authorized Persons to act as my agent to 1) determine the most appropriate method of transport to a healthcare service provider(s) and facility, 2) transport my child to that healthcare provider or facility if deemed appropriate in the Authorized Persons' judgment,  and 3) consent to treatment of my child, including imaging services, labs, examinations, anesthesia, or other related healthcare treatment and hospital care as advised by a qualified healthcare provider licensed to provide medical care in the jurisdiction.

I understand and acknowledge that this authorization is given in advance of any specific health diagnosis, treatment, or hospital care that might be required and is given to provide authority and power to the aforementioned Authorized Persons and medical care providers in the exercise of his or her best judgment that may be deemed advisable.  Any Authorized Persons or healthcare providers may rely upon the accuracy and completeness of the medical and insurance information I provide. I understand that I retain full financial responsibility for any care rendered to my child, and that no Authorized Persons are financially responsible  for any emergency care rendered under this authorization. I also agree to indemnify and hold harmless CCR and Authorized Persons for any claims for damages, whether at law or in equity, alleged as arising from the exercise of this release.

I understand and acknowledge that my child is required to comply with all rules of conduct and is subject to the consequences for violations of the rules set forth in the Capital City Rowing Handbook while attending all rowing functions. I understand and acknowledge that violations of any of these rules, or other violations of the Capital City Rowing Code of Conduct, may subject my child to discipline, including no longer being able to participate in team travel or regattas, or being returned home early from a regatta at the parents' expense from a regatta, at the discretion of the chaperones and coaches.

I hereby waive, release and forever, discharge CCR and Authorized Persons from all rights and claims for damages, injury,  bodily harm, death, or loss to person or property, which may be sustained or occur during participation in CCR activities, to include regatta participation, regardless of whether damages alleged or loss sustained is due to negligence. I am aware of the inherent risk associated with participation in competitive sports and water activities, and hereby acknowledge that my child is physically fit and capable of participation in all CCR activities.

By registering my child with Capital City Rowing, I agree to participate and allow my child to participate in Capital City Rowing activities and events, and hereby release Capital City Rowing, its directors, officers, agents, coaches, and employees from liability for any injury or loss to person or property that occurs during Capital City Rowing activities and events, including travel to and from practices, regattas,  or other scheduled team activities.

I further agree to indemnify and hold harmless Capital City Rowing and its directors, employees, and their agents, against any and all liability for personal injury, including injuries resulting in death to me, my child and other family members, or damage to my property, the property to my child and other family members while I (or my child or family members) participate in Capital City Rowing activities and events.

Copyright 2020, Capital City Rowing, Inc. 1400 Village Square Blvd. #3-310, Tallahassee, FL 32309
Capital City Rowing, Inc is a 501(c)3 non-profit organization. 

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