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Register For
SSBG Spring Team Series 3

April 8 - 9, 2017
 
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Event Fees

Registration:
 
$212.00
 

Skipper Information

Items marked with a * are required unless stated otherwise.

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Skipper Last Name*:
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ZIP/Postal Code*:
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Phone Number*:
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Email Address*:
Email Address Confirm*:
Birthdate*:
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Emergency Contact Name*:
Emergency Contact Relationship*:
Emergency Contact Phone*:
Boat Information
   
Select Your Team :
Desired Class :
   

Release and Waiver of Liability
In consideration for being allowed to access or use property owned or possessed by, and/or participate in programs, activities, or events sponsored, organized, provided, or performed by, Sea Scout Base Galveston, d/b/a Galveston Community Youth Sailing Center (“SSBG”), and on behalf of any minor or legally incompetent person listed as a Participant below, I agree to comply with, and ensure that such minor or legally incompetent person complies with, all rules and regulations posted or otherwise promulgated by SSBG regarding such property, programs, activities, and events, and I agree to PROTECT, DEFEND, INDEMNIFY, AND HOLD
HARMLESS SSBG, its employees, directors, managers, officers, agents, and representatives
(together, the “Covered Group”), from and against any and all cost, expense, and liability for any illness, personal injury, death, financial loss, property loss, and/or property damage that I or the minor or legally incompetent individual might suffer or cause, and for any wrongful death action that the heirs and/or estate of any person might bring, arising out of, relating to, or associated with me or said minor or legally incompetent individual using or accessing property owned or possessed by SSBG and/or participating in a program, activity, or event sponsored, organized, provided, or performed by SSBG, INCLUDING, WITHOUT LIMITATION, ANY SUCH COST, EXPENSE, AND LIABILITY, OR WRONGFUL DEATH ACTION, CAUSED OR BROUGHT ABOUT BY THE NEGLIGENCE OF ANY MEMBER OF THE COVERED GROUP.
I UNDERSTAND THAT I AM AGREEING THAT NEITHER I NOR MY HEIRS OR
ESTATE, AND NEITHER SAID MINOR OR LEGALLY INCOMPETENT INDIVIDUAL
NOR HIS OR HER HEIRS OR ESTATE, MAY PURSUE ANY CLAIM FOR DAMAGES
AGAINST ANY MEMBER OF THE COVERED GROUP ARISING OUT OF ANY
PROPERTY OWNED OR POSSESSED BY SSBG OR ARISING OUT OF ANY PROGRAM,
ACTIVITY, OR EVENT SPONSORED, ORGANIZED, PROVIDED, OR PERFORMED BY
SSBG.
THE UNDERSIGNED COMPETENT ADULT HEREBY AFFIRMS NATURAL OR LEGAL
GUARDIANSHIP AND/OR LEGAL RESPONSIBILITY OVER ANY MINOR OR
LEGALLY INCOMPETENT INDIVIDUAL LISTED AS A PARTICIPANT BELOW and
consents to said minor or legally incompetent individual participating in the programs and
activities of SSBG.
If it is determined that any provision herein is unenforceable under applicable law, the
unenforceable provision shall automatically be amended to conform to that which is enforceable
under the law, and all other provisions hereof shall be construed and enforced as if no
unenforceable provision were ever included herein. This Release and Waiver of Liability is the
entire agreement between the signatories and SSBG relating to the subject matter herein,
supersedes all prior agreements, promises, correspondence, discussions, representations, and
understandings regarding the subject matter herein, can be amended or modified only in a
writing signed by SSBG and the below signatories, and shall be binding upon and inure to the
benefit of the signatories and SSBG, their respective heirs, successors, and permitted assigns.

I agree to the above:
 

 
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