HiddenYEAR A separate agreement is required for each participant Parent or legal guardian for minor participants (under age 18) must sign agreement(s) for self and on behalf of child. Note: Participation in any program/event of Seventy48 and Northwest Maritime Center constitutes acceptance of these Waiver of Claims and Limitations of Liability Terms, with or without a confirming signature.Team Name* Participant Name* First Last Participant Email* Participant Phone*Participant Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Age check* I am 18 or over I am under 18 Participant Under 18Name of Parent/Guardian of Minor* First Last Parent/Guardian Email If different than participant listed above.Parent/Guardian PhoneIf different than participant listed above.Participation Liability ReleaseI acknowledge that I have voluntarily chosen and hereby grant permission for myself/my child to participate in Seventy48 conducted by Northwest Maritime Center. Specifically, on my own behalf, and if a parent or authorizing adult, on behalf of my child and all other related or affiliated participants, I agree as follows:Waiver of Claims* I recognize that Seventy48 and Northwest Maritime Center and affiliated parties’ vessels, equipment, and facilities may not be safe at all times or under all circumstances. I further recognize the inherent dangers of sailing, rowing, paddling, and associated water-related activities. I, as a specific condition of participation, therefore release and waive any and all claims for property damage or personal injury resulting from the actions of Seventy48 and Northwest Maritime Center, its employees and/or volunteers, and/or any affiliated third parties. Without limiting the foregoing, I specifically waive all claims against Seventy48 and Northwest Maritime Center, its employees and/or volunteers, and/or affiliated third parties, for any and all direct, incidental, and consequential damages relating in any way to Seventy48 and Northwest Maritime Center, its programs or events. Personal injury includes serious bodily injury (including broken bones, head or neck injuries), sickness and disease (including communicable diseases such as COVID-19), trauma, pain & suffering, permanent disability, paralysis and death. Limitations of Liability* Without limiting the foregoing, I/my child hereby further consent to the specific Limitations of Liability of Seventy48 and Northwest Maritime Center, its employees and/or volunteers, and/or affiliated third parties, under any and all claims by me, whether direct, indirect, or to be paid to a third party, to refund my/my child’s participation fee. I agree that under no circumstances will any claim that I/my child make, direct or indirect, of whatever kind or nature, against Seventy48 and Northwest Maritime Center, its employees and/or volunteers, and/or affiliated third parties, exceed my/my child’s participation fee. I expressly recognize and agree that Seventy48 and Northwest Maritime Center, its employees and/or volunteers, and/or affiliated third parties, are under no circumstances liable for the conduct of any other parties during or related to Seventy48 and/or any Northwest Maritime Center program. I expressly waive any claims for personal injury, property damage, or otherwise, against Seventy48 and Northwest Maritime Center, its employees and/or volunteers, and/or affiliated third parties, caused by or related in any way to the conduct of other parties. Own Insurance* I understand I am strongly advised to procure our own prudent levels of insurance for my vessel, property and personal injury during participation in Seventy48 and affiliated programs. I understand and recognize, under the Waiver of Claims and Limitations of Liability above, that I must and will look solely to my own insurance, if any, for any loss occurring at, or relating to, any Seventy48 and Northwest Maritime Center program/event. I understand and agree that Seventy48 and Northwest Maritime Center has no obligation to procure insurance on my behalf Indemnification* I understand and agree on behalf of all other related or affiliated parties, including minors participating with me, that these parties are also subject to the above Waiver of Claims and Limitations of Liability. I expressly consent to this Waiver of Claims and Limitations of Liability on behalf of such parties. I agree to completely indemnify and hold harmless Seventy48 and Northwest Maritime Center, its employees and/or volunteers, and/or affiliated third parties, from any claim from any third party, minor or otherwise, participating in connection with my/my child’s participation in any Seventy48 and Northwest Maritime Center program/event or under the authority of myself, except that arising solely from the negligence of Seventy48 and Northwest Maritime Center, to the maximum extent permitted by law. Understanding that damages may be caused to others by or related to my participation in a Seventy48 and Northwest Maritime Center program, I agree to completely indemnify and hold harmless Seventy48 and Northwest Maritime Center, its employees and/or volunteers, and/or affiliated third parties, from any claim from any third party arising from or related to my participation, plus all costs, expert fees, and attorney’s fees, except that arising solely from the negligence of Seventy48 and Northwest Maritime Center, to the maximum extent permitted by law. No Modification/Consent by Participation* I understand that this Waiver of Claims and Limitations of Liability may not be bypassed or modified by any person without the express written consent of the Board of Directors of Seventy48 and Northwest Maritime Center. This Waiver of Claims and Limitations of Liability affects your rights; State law and/or Federal law may give you other rights. Rules* I agree to follow all safety procedures as set forth by Seventy48 and Northwest Maritime Center while participating in any Seventy48 and Northwest Maritime Center program/event: to not engage in any disruptive, reckless or irresponsible behavior; to display care in the use of program boats and equipment; to repair or replace all equipment or property damaged by myself/my child whatever the cause. Failure to abide by these rules may result in suspension or expulsion from the program/event, which will result in forfeiture of registration fees and immediate dismissal. Image, Likeness, and Name* I hereby give permission for Seventy48 and Northwest Maritime Center staff and/or any person acting on their behalf to photograph and video myself/my child and allow Seventy48 and Northwest Maritime Center to use (a) these pictures and videos, (b) my/my child’s image and likeness, and (c) my/my child’s name as it sees fit. This includes the use of my/my child’s image and likeness and name, in regard to the promotion and marketing of Seventy48, Northwest Maritime Center, and any programs, activities or events of Northwest Maritime Center. I release all publication rights to said photos/videos Medical Release/Authorization* I hereby give permission to Seventy48 and Northwest Maritime Center staff and/or any adult member of the participating group to transport myself to a doctor and/or hospital for treatment. I authorize all medical, surgical, diagnostic, and hospital care procedures which may be performed or prescribed for myself/my child, when efforts to contact me are unsuccessful, by a licensed physician or hospital and when deemed immediately necessary or advisable by the physician to safeguard myself/my child. I waive my right of informed consent to such treatment. I waive my right of informed consent to such treatment for religious or other reasons, and wish NOT to authorize treatment. I will upload letter of explanation. Letter of Explanation for Non-Treatment*Max. file size: 64 MB.Health & Safety By attending or participating in in-person events and/or programs hosted by Northwest Maritime Center, I affirm that I will abide by all current NWMC Health & Safety Requirements found at NWMC Health and Safety. I state that I am of lawful age and legally competent to sign this affirmation and release; that I understand the terms herein are contractual and not a mere recital; and that I have signed this document as my voluntary act and intend to be bound by these terms. I HAVE FULLY INFORMED MYSELF OF THE CONTENT OF THIS AGREEMENT BY READING IT BEFORE I SIGNED IT.Signature*