51st ANNUAL GENERAL CLINTON CANOE REGATTA

52nd ANNUAL GENERAL CLINTON CANOE REGATTAC-1 70Entry Fee per Person$40 by April 30 th$60 by May 16 thMake check payable to:Bainbridge Chamber ofCommerceAWARDS# of Teams Awards1-4 1 st5-9 1 st & 2 nd10-15 1 st - 3 rd16-24 1 st - 5 th25 + 1 st – 10 thAwards presentation time willbe posted on Results Board onthe day of raceFree Parking onMondayMONDAY, MAY 26, 201470 MILE C-1 ENDURANCE RACE6:30 AMOTSEGO LAKE COOPERSTOWN, NYRace ClassesC-1 Open Under 50 YearsC-1 Open 50 Years and OlderC-1 Armond Bassett Memorial StockC-1 ProAll finishers receive Patch, BBQ and T-Shirt. Complimentaryfinisher plaque will be awarded to first time finishers. Allothers can purchase for $10. Pickup at PavilionAttention 70 Mile ParticipantsNumber and Race packet pickup will be located at General Clinton Park; exactlocation will be posted by the park office.C-1 ProEntry Fee per Person$80 by April 30 th$130 by May 16 thMake check payable to:Bainbridge Chamber of CommercePro PayoutPlease visit our websitewww.canoeregatta.org forpayout information.****APPLICATION MUST BE COMPLETELY FILLED OUT****NAME:STREET:CITY: STATE: ZIP:DOB:AGE:PHONE:EMAIL:T-SHIRT SIZE: S M L XL # OF FINISHESCANOE MAKE: CANOE MODEL: CANOE LENGTH:Refer to rules page for canoe specifications. All pro competitors subject to drug testingMAIL ENTRIES TO: General Clinton Canoe Regatta PO Box 2, Bainbridge, NY 13733OVERNITE & EXPRESS MAIL TO John Girton, 14 Jackson St, Greene, NY 13778Entry information John Girton Phone: 607-656-8448 or via email at jgirton@canoeregatta.orgOnline entries will have a $5.00 processing fee added to the entry fee.Online entries will be accepted until 12 noon May 16, 2014Entries mailed must be received by the Chamber before or on May 16, 2014.We have read the waiver and all rules that pertain to our race and agree to abide by them.Entrants under 18 years of age must have parents signatureSignature of Entrant:Signature of Entrant’s Parent or Guardian:Date:Date:

General Clinton Canoe RegattaACCIDENT WAIVER AND RELEASE OF LIABILITYI acknowledge that this athletic event is an extreme test of a person’s physical and mental limits and carries with it a potential fordeath, serious injury and property loss. The risks include, but not limited to, those caused by terrain, facilities, temperature,weather, condition of athletes, equipment, vehicular traffic, actions of the people including, but not limited to, participants,volunteers, spectators, coaches, event officials, and event monitors, and/or producers of the event, and lack of hydration. Theserisks are not only inherent to athletics, but are also present for volunteers. I hereby assume all the risks in participating and/orvolunteering in this event. I realize the liability may arise from negligence or carelessness on the part of the persons or entitiesbeing released, from dangerous or defective equipment or property owned, maintained or controlled by them or because of theirpossible liability without fault.I certify that I am physically fit, have sufficiently trained for participation in the event and have not been advised otherwise by aqualified medical professional.I acknowledge that this is an Accident Waiver and Release of Liability form will be used by the event holders, sponsors, andorganizers, in which I may participate and that will govern my actions and responsibilities at said events.In consideration of my application and permitting me to participate in this event, I hereby take action for myself, my executors,administrators, heirs, next of kin, successors, and assigns as follows: (A) Waive, Release and Discharge from any and all liabilityfrom my death, disability, personal injury, property damage, property theft, or actions of any kind which my hereafter accrue to meincluding my traveling to and from this event, THE FOLLOWING ENTITIES FOR PERSONS: Their directors, officers, employees,subcontractors, volunteers, representatives and agents, the event holders, event sponsors, event volunteers: (B) Indemnify andHold Harmless the entities of persons mentioned in this paragraph form any and all liabilities or claims made as a result ofparticipation in this event, whether caused by negligence of releases or otherwise.I hereby consent to receive medical treatment that may be deemed advisable in the event of injury, accident, and/or illness duringevent.I understand that at this event and related activities, I may be photographed, I agree to allow my photo, video, or film, likeness tobe used for any legitimate purpose by the event holders, producers, sponsors, organizers and assigns.The Accident Waiver and Release of Liability shall be construed broadly to provide a release and waiver to maximum extentpermissible under applicable law.I hereby certify that I have read this document; and I understand its’ content.PARENT OR GUARDIAN FOR MINORS (Under 18 years old)The parent and natural guardian does hereby represent that he/she is, in fact, acting in such capacity and agrees to save and holdharmless and indemnify each and all parties referred to above from all liability, loss, cost, claim, or damage whatsoever which maybe imposed upon said parties because of any defect in or lack of such capacity to so act and release said parties on behalf of theminor and the parents or legal guardianWaivers will be signed at the start of the race or at packet pickup for Monday races. All Racers must sign a waiver.