Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

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Photo/Video Release *

The Participant or his/her parent/legal guardian assigns to Lake Merritt Rowing Club (“LMRC”) the irrevocable and unrestricted right to use and publish photographs and/or video of the Participant, or in which Participant may be included, for editorial, trade, advertising and any other purpose and in any manner and medium, to alter the same without restriction, and to copyright the same.

I agree to the above photo release terms

Swimming Certification *

Due to Covid-19, we will waive the completion of a swim test, but you will be required to complete and submit a swim test (or equivalent) as soon as the Oakland Temescal pool is able to offer them again. If you are unsure of your swimming ability, do not sign below. Inform your LMRC instructor, activity leader, or host. I certify that I am a proficient swimmer and can perform all of the following: 1) Swim a distance of 75 feet. 2) Swim under water for a distance of 20 feet. 3) Tread water for 5 minutes.

First Name

Last Name

COVID-19 Waiver *

I understand that rowing at LMRC could increase my risk of contracting COVID-19.

I Agree

LMRC Refund Policy *

LMRC has a ‘No Refund” policy on fees. This applies to all Membership fees, programs, clinics, classes or lessons. Private lessons, require 48 hours advance notice to cancel.

I Agree

Waiver of Liability *

WAIVER FOR ADULT GUESTS OF LMRC STANDARD ATHLETE’S RELEASE FORM NOT for Use with Minors In consideration of my use of Lake Merritt Rowing Club facilities, I hereby waive, release and discharge any and all claims for damages from death, personal injury or property damage which I may have, or which may hereafter accrue to me, as a result of my participation in said Lake Merritt Rowing Club Inc., a California corporation, its shareholders, Board of Directors, officers and members, promoters and sponsors, the United States Rowing Association, promoting clubs, officials, and any involved municipalities or other public entities and their respective agents and employees, from and against any and all liability arising out of or connected in any way with my participation in said Lake Merritt Rowing Club or its activities, even though that liability may arise out of negligence or carelessness on the part of persons or entities mentioned above. I further understand that serious accidents occasionally occur while engaged in rowing activities and that participants thereof occasionally sustain mortal or serious personal injuries and/or property damage as a consequence thereof. Knowing the risk of rowing participation, nevertheless, I hereby agree to assume those risks and to release and hold harmless all of the persons or entities mentioned about who, through negligence or carelessness might otherwise be liable to me or my heirs or assigns for damages. It is further understood and agreed that this waiver, release and assumption of risk is to be binding on my heirs and assigns.

First Name

Last Name