Windward Boats, Inc & Coastal Kayaks Tours 2010 Paddler's Papio Open Tournament
Name: ------------------------------------------------------------------------- Keiki: ------------------------------------------
Phone: ----------------------------------------------------------------------------------------------------------------------------
Address: -------------------------------------------------------------------------------------------------------------------------
City: --------------------------------------------------------------------------- Zip: ---------------------------------------------
This tournament/demonstration will be authorized by Windward Boats, and party listed above.
RELEASE & INDEMNITY
I will abide by all the Rules and Regulations of the "2010 Paddler's Papio Open" Kayak Fishing Contest. If Officials of the Kayak Fishing Contest determine that I have violated any Rules or Regulations, I will forfeit all monetary and merchandise awards. I understand that participating in the "2010 Paddler's Papio open" Contest can be dangerous and could result in loss of property and personal injury, including death. On behalf of my heirs my personal representatives, and myself I hereby release Coastal Kayak Tours and Windward Boats from any and all liability and responsibility, which they, Or any of them, may incur as result of any and all property damage and injuries- including death which I may suffer or incur in connection with, or as a result of my participation in The 2010 Paddler's Papio Open Fishing Contest. On behalf of myself, my heirs, and my personal representatives, I further agree to indemnify and hold harmless each and everyone of the aforementioned from and against any loss, damage, cost, judgment or payment of any kind, Including attorney's fees which they, or any of them, may suffer, pay or become liable for, as a result of any claim or demand of any kind or nature, made by myself, my heirs, my estate or any person or entity in connection with any injury-including death, loss of property which I may suffer or incur as result of my participation in the demonstration.
Print name of participants:
Adult (print)____________________________ Keiki (print)______________________________
Signature and date of participant:
Adult (sign) _________________________________________________ Date _____________
Keiki or guardian (sign) ________________________________________Date _____________
WINDWARD BOATS, INC. ~ 789 Kailua Road, Kuala, Hawaii 96734 ~ 808-263-6030
-----------------State of Hawaii release form-------------------
(Must be signed)
MARINE/OCEAN WATERS EVENT
Hold-harmless agreement indemnifying the state of Hawaii against any liability
1. Liability Release:
In signing this release I hereby release the State of Hawai'i, Department of Land and Natural Resources, Division of Boating and Ocean Recreation (herein referred to as the State) it's officers, agents, employees, and all departments from any and all damages, claims, demands, costs, or expenses relating to injury or death of any persons or damage to any property which I may sustain or which I may cause by reason of participating in, or in connection with this, The "Paddler's Papio Open" Kayak fishing Contest.
2. Covenant not to sue and waiver of subrogation: I further agree that I will never sue the State for damages on account of any injury or damage I suffer or cause whether known now or which may develop in the connection with the 2010 Paddler's Papio Open Kayak Fishing Contest. In the event the State is sued because of my actions, I expressly agree to indemnify and hold the State harmless from any liability whatsoever, including court cost and attorney's fees, arising with respect to such actions. I understand that in waiving my rights to sue the State, I also am waiving the rights of recovery from the State of my insurance carrier for any claims they may pay on my behalf. I further understand that by signing this agreement, I waive any rights my heirs or relatives have or may have to sue the State for liability. Reading and understanding: I signify by my signature below that I have read and understand both agreements 1 and 2 listed above.
Name (print) ________________________________________________Date_________
Signature of participant _______________________________________Date__________
Keiki: If participating with Keiki in the kayak fishing tournament please sign below:
Printed name of Keiki _______________________________________Date_________
Signature of Keiki or Guardian _______________________________ Date_________