JUNIOR INFORMED CONSENT, DISCLOSURE, AND ACKNOWLEDGEMENT OF RISK
(Age 18 years and under)

TO: RICHMOND DRAGON BOAT SOCIETY and its directors, officers, members, agents, officials, organizers, volunteers, supervisors, and other representatives (all collectively referred to as the “Operator”);

AND TO: Dragon Zone Paddling Club, the City of Vancouver, Vancouver Board of Parks and Recreation, all official sponsors, official suppliers, volunteers, staff and all their respective directors, officers, employees, volunteers, agents, representatives, successors, and assigns (all collectively referred to as the “City”).

IN CONSIDERATION of the Operator granting ___________ (the “Youth Participant”) the rights and privileges of membership in the RDBS and being permitted to participate in the paddling, training, coaching, racing, operational, maintenance, and other activities of the Operator, in addition to the Burnwater Youth Regatta, the Vessi500 Championship, the Concord Pacific Dragon Boat Festival, Dragon Zone Paddling Club, and Creekside Kayaks, including, but not limited to: regattas, competitions, races, demonstrations, practices, paddling orientation and instruction sessions, and other such activities, events and services in any way connected with the above events (collectively, the “Activities”), the undersigned parent or legal guardian of the Youth Participant agrees as follows:

1. COMPLIANCE WITH RULES. The Youth Participant is required to abide by the rules and regulations established by the Operator from time to time applicable to the Activities, including, without limitation, the wearing of a personal floatation device (PFD) if required. During the Youth Participant’s participation in the Activities, the Youth Participant is expected to act responsibly with a view to preserving my own safety and the safety of other participants.
2. RISKS, DANGERS, AND HAZARDS. I acknowledge that the Activities involve risks, dangers and hazards inherent in canoeing, kayaking and associated outdoor water sports (collectively, the “Inherent Risks”), and further acknowledge that in addition to the Inherent Risks, the Activities involve certain additional risks, dangers and hazards, some of which may include (but are not limited to): physical exertion for which the Youth Participant may not be prepared; weather extremes, including sudden and unexpected changes; dangerous water conditions, including cold water and movement, waves, currents, rapids and white water; immersion in cold water; hypothermia; underwater entrapment; collision with natural and man-made objects, including rocks, docks and other boats; slippery docks; equipment malfunction or failure; and delay or inability for rescue or medical treatment in a timely manner (collectively, the “Additional Risks”). I have informed the Youth Participant of the Inherent Risks and Additional Risks associated with the Activities.
3. INFORMED CONSENT. I am the parent or legal guardian of the Youth Participant and I hereby freely consent to the Youth Participant’s participation in the Activities. I acknowledge and am fully aware that in participating in the Activities, the Youth Participant is being exposed to risks of personal injury, death or property damage or loss, which may result from many causes, including the Inherent Risks, the Additional Risks, active or passive negligence, imprudence, lack of skill, error of judgment, breach of contract or breach of statutory duty of care on the part of the Operator or City. I acknowledge that the Youth Participant is voluntarily participating in the Activities for his or her benefit and enjoyment and the excitement associated with the Activities, despite being informed of the Inherent Risks and Additional Risks associated therewith.
4. DAMAGE TO EQUIPMENT. I agree that if the Youth Participant damages or loses any equipment of the Operator or the City or damages any facility of the Operator or the City, I agree that I may be held responsible for some or all the insurance deductible payable. If insurance does not cover the damage or loss, then I agree that I may be held responsible for the cost of repairing the damage or replacing the lost equipment.
5. NO WARRANTIES. I acknowledge that in signing this Agreement, I am not relying on any oral, written, or visual representations or statements of any kind made by the Operator or the City.
6. GENERAL PROVISIONS. This Agreement shall be binding on my heirs, next-of-kin, executors, administrators, assigns and representatives in the event of my death or incapacity. If any provision of this Agreement is held invalid or unenforceable, it will be severed from this Agreement and will not affect the validity or enforceability of the remaining provisions of this Agreement. This Agreement sets out the entire agreement between the parties regarding the subject matter hereof and may not be amended. This Agreement shall be governed by the laws of the Province of British Columbia, Canada.
7. PERSONAL INFORMATION. I acknowledge that the Operator collects the Youth Participant‘s personal information for the purpose of providing the Youth Participant with the services and / or the facilities associated with being a member of the RDBS. I hereby consent to the use of the Youth Participant‘s personal information by the Operator and disclosure to and use thereof by the Operator‘s agents, including its sport governing bodies and insurers, in relation to the Youth Participant‘s membership with the RDBS, the Youth Participant‘s use of the Operator‘s facilities, equipment and services, and the Youth Participant‘s participation in the Activities.
8. MEDIA RELEASE. I hereby grant the Operator and its members, volunteers, professional photographers and the media the absolute right and permission to take during the Activities, and to use and publish, photographs of the Youth Participant, still or moving, with or without the Youth Participant’s name, and to reproduce same through any media, for artistic, promotional, advertising, web content or other commercial and non-commercial purposes, and the Youth Participant shall not be entitled to any monetary compensation of any kind in respect thereof.
9. COMMUNICATIONS. I hereby agree to the Operator sending the Youth Participant commercial electronic messages related to the Youth Participant‘s membership with the RDBS, the Youth Participant‘s use of the Operator‘s facilities, equipment and services, the Youth Participant‘s participation in the Activities, any charitable or other events or activities hosted or sponsored by the Operator, and products and services offered by the Operator. I acknowledge that the Youth Participant may later unsubscribe by contacting an RDBS representative.
   • I hereby authorize the Operator and its representatives to notify me (via mail, email, or fax) throughout the year for special offers, events news, and information about our services. – I agree./I do not agree.
10. VOLUNTEER. If you wish to volunteer, please complete the “Volunteer Application and Consent Form” and/or “Driver Authorization form for Volunteer and Staff” and return them to an RDBS representative at least one week in advance of the Activity for Operator approval.
    • I am available to be a volunteer and will complete the Volunteer Application and Consent Form and return to the Operator at least one week in advance of the Activity for Operator approval. – Yes/No
    • I am available to be a volunteer driver and will complete the Driver Authorization form for Volunteer and Staff and return it to the Operator at least one week in advance of the Activity for Operator approval. – Yes/No

I CONFIRM THAT I AM THE PARENT OR LEGAL GUARDIAN OF THE YOUTH PARTICIPANT, THAT I AM AT AN AGE OF LEGAL CONSENT, THAT I HAVE READ AND UNDERSTOOD THE TERMS OF THIS AGREEMENT BEFORE SIGNING IT. I ACKNOWLEDGE THAT I HAVE BEEN GIVEN THE OPPORTUNITY TO CONSULT A LAWYER FOR INDEPENDENT LEGAL ADVICE.

Parent/Guardian Consent

____________________ Parent/Guardian Name	_____________________ Signature	___________________ Date
	_____________________ Cell	___________________ Email
____________________ Emergency Contact	_____________________ Cell	___________________ Relationship to child
Medical/physical conditions that may affect my child’s participation (allergies, recent illness or injury, recent hospitalization or surgery, chronic conditions, phobias, etc.) include (be specific): _______________________________________________________________________________________________

Youth Participant Commitment to Safety, District Code of Conduct and Acknowledgement of Risk (for youth aged 18 and under)

My signature below indicates that I will behave safely and will abide by the District Code of Conduct while I am participating in the Activities.

• I will participate in this activity to the best of my abilities.
• I will behave safely and will wear appropriate clothing and use appropriate equipment during this Activity.
• I have been briefed by the Operator on the elements of risk and dangers involved and the precautions that are to be taken.
• I will abide by the District Code of Conduct, school rules, and expectations set out by the Operator during the Activity.
• I will report any safety, medical or health issue or injury to the Operator.

___________________ Youth Participant’s Name

__________________ Signature

___________________ Date

*This waiver must be completed prior to participation in RDBS events or utilization of equipment.