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Marathon Canoe Racing Association of British Columbia 2007 MEMBERSHIP REGISTRATION FORM (Please print clearly!) Name ___________________________________________ Sex: M F Age _______ Address: _____________________________________________________ City: ____________ Prov. ____________ Postal Code _________________ Phone ___________________ E-mail address: (please print very clearly) _____________________________________________ I wish to have my newsletter sent via e-mail rather than regular mail. Yes No I give permission for my e-mail address to be given to other association members. Yes No (If you wish to return to regular mail or to receive via e-mail you may do so at your convenience.) MCRABC RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT I understand that participation in marathon canoe racing may expose me to risk of injury, disability or death, and loss of property from the inherent dangers associated with this activity including, but not limited to: inclement weather, rough water, moving water, cold water, unseen submerged objects, river-bank hazards, other boats. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, even if arising from the ordinary negligence of Marathon Canoe Racing Association of British Columbia and its officers, officials, volunteers, other participants, directors, or others involved in MCRABC sanctioned events. I assume full responsibility for my participation. I hereby waive any and all claims that may be made by myself, my family, estate, and heirs. I have read this Release of Liability and Assumption of Risk Agreement, fully understand its items, understand that I have given up substantial right by signing it, and sign it voluntarily without any inducement. Signature: ________________________________ Date: ___________________/2007 Parent signature (if member under the age of 19 years)______________________________ 2007 fee per individual is $20.00 CHEQUES payable to MCRABC Send this form and payment to: Marathon Canoe Racing Association of British Columbia c/o Darryl Spencer 483 Linden Ave., Kamloops, B.C., V2B 2N4 Thank you for supporting MCRABC - volunteers working to promote marathon canoeing in BC |