Dana Point Yacht Club
Phone: 949.496.2900
Fax: 949.496.1603
   All Information Is Required
SUP Entry Registration
Entrant's Name: Age:
Board Mfg/Design: Length:
Please note Check-In & race times shown below.
Additional Donation - $10 increments
Division Entered: Mens Womens

We want you to have a superb and safe Richard Henry Dana Charity Regatta ® Standup Paddle (SUP) Race Event. There are predictable and unpredictable risks associated with competitive events involving water vessels, including stand up paddleboards. In order to participate in this Event, you need to read, understand, and agree to the following form by your acceptance below.

Saturday, Sept. 7, 2013

  • Registration & Check-In — 7:00AM (Dana Point Yacht Club)
  • Sprint Race — 8:30AM (approx. 1/4 mi.)
  • Around Island Race - Following Sprint Race (1.85 mi.)
** If you raised pledges or are a sponsor of $1,000 or more, please indicate in comments during payment process.
Here's How To Get A Free Entry & Win A 40" Toshiba TV — Pledge Packet

 

    Event Participant Waiver and Release

    In consideration of your acceptance of my entry, I hereby certify, agree and acknowledge:

    I understand and agree that I must report to the above Event sufficiently fit and healthy enough with sufficient experience and equipment to safely participate in the Event, and I will conduct myself so as to protect myself and other participants at the Event. I am aware that the risks associated with the Event include the possibility of personal injury, property damage, or death.

    I am aware of the above risks and responsibilities and agree that my voluntary participation in the Event is at my own risk. On behalf of myself and anyone who might sue on my behalf, I hereby irrevocably waive any and all claims against the Dana Point Yacht Club and the County of Orange, and their officers, directors, members, employees, agents, volunteers, contractors, insurers, successors and assigns, for damage, injury, accident, illness, or death, including any provision of medical first aid, which may relate to the Event.

    I understand that my image may be recorded at the Event, and I hereby give my permission to use my images with or without my name for any promotional purpose of the Dana Point Yacht Club.

    I certify that I am 18 years of age or older in order to participate in this Event.

    I certify that the information given above is correct and that I agree to the above stated conditions.