HomeMy WebLinkAbout2018 Roughwater Swim - Richardson Ocean Park, Sunday, July 29, 20181
RELEASE OF CLAIMS AND LIABILITY WAIVER
This Release of Claims and Liability Waiver is made for Sunday, July 29, 2018 by
whose date of birth is / / , (Name of Participant)
and whose address is
(Street Address/P. O. Box#) (Town/City) (State) (Zip Code)
I, the undersigned, either being over the age of eighteen (18) years old, or having the express permission of my parent
and/or legal guardian, hereby acknowledge that I have reviewed the Information Sheet for the Annual Richardson
Roughwater Swim attached on page 2, which will be held at Richardson Ocean Park on Sunday, July 29, 2018, ("Event")
and I am fully aware of the dangers and risks of injury inherent in my participation in this Event. I also acknowledge that I
am fully aware of my own physical limitations and I certify that I am physically fit, have sufficiently trained for participation
in this Event and have not been advised otherwise by a qualified physician or other health care provider. I will attend the
pre -race meeting on the beach prior to the Event which will provide me with the swim course details and instructions and I
understand that my failure to attend the pre -race meeting will result in my disqualification from this Event.
In consideration of the permission granted to me by the County of Hawaii and the State of Hawaii to participate in this
Event, I hereby release the County of Hawaii, the State of Hawai'i, its officers, employees, agents, independent
contractors, organizers, race officials, and volunteers of the Annual Richardson Roughwater Swim Event from all actions,
causes of action, damages, injuries, claims or demands, which I, my heirs, personal representatives, or assignees may
have against the County of Hawaii, the State of Hawai'I, its officers, employees, agents, independent contractors,
organizers, race officials, or volunteers for any and all injuries, known or unknown, which I may incur by my participation in
the Annual Richardson Roughwater Swim or by my use of the Richardson Ocean Park.
I do further agree that I shall indemnify and save harmless the County of Hawaii and the State of Hawai'i, its officers,
employees, agents, independent contractors, organizers, race officials, and volunteers, either jointly or severally, from any
and all claims, demands, damages, loss of service, or expense for property damage or personal injuries or actions brought
by a third party resulting or arising from my participation in the Annual Richardson Roughwater Swim or my use of the
Richardson Ocean Park.
I, the undersigned, have read this Release of Claims and Liability Waiver and understand all of its terms. I execute it
voluntarily and with full knowledge of its significance. This document contains two pages.
IN WITNESS WHEREOF, I have executed this Release at
Participant's Signature Telephone No.
, on this date / /
(Place of Execution)
Parent/Guardian Waiver for Minors (under 18 years old). The undersigned parent and/or legal guardian does hereby
represent that he/she is, in fact, acting in such capacity and agrees to save and hold harmless and indemnify each and all of
the parties referred to above from all liability, loss, cost, claim or damage whatsoever which may be imposed upon said
parties because of any defect in or lack of such capacity to act and release said parties on behalf of the minor and the
parents or legal guardian. (Continued on page 2).
If Participant is under 18 years of age:
Signature of Parent or Guardian Telephone No.
The County of Hawai'i Department of Parks and Recreation provides recreational opportunities without regard to
race, color, national origin, age, sex, religion or disability. Please call our Aquatics Office at (808) 961-8694, to discuss
your need for reasonable modifications due to disability, or for more information on site accessibility.
County of Hawaii is an Equal Opportunity Provider and Employer.
2
2018 RICHARDSON ROUGHWATER SWIM ENTRY
PLEASE PRINT: MALE FEMALE
(Last Name) (First Name)
ADDRESS:
(Street / P.O. Box) (City) (State) (Zip)
DATE OF BIRTH: / / AGE on race day: T-SHIRT SIZE: S M L XL XXL
Please indicate which event you are entering: FINLESS FINS
PARTICIPANT INFORMATION SHEET
START: 8:00 a.m. Richardson Ocean Park, Hilo. CHECK-IN: 6:45 a.m. — 7:30 a.m.
COURSE: Approximately 1 mile. Start at the beach (left of lifeguard stand), swim out the channel
entrance. Round buoy to the LEFT and swim towards Lalakea. Swim towards buoy for turn -around
and continue back on same course rounding channel buoy on your RIGHT (see map below).
EQUIPMENT: You may swim with or without fins. Please indicate category on entry form. No flotation
devices, wet suits or hand gloves / paddles may be used. Bright colored swim caps will be provided.
AWARDS: Awards will be given for first place in the FINLESS categories, Kane and Wahine. Age
group breakdown: 10-14 years (Keiki), 15-19 years, 20-34 years, 35-49 years, 50-64 years (Masters),
65-74 (Seniors), 75+ (Kupuna)
ENTRY FEE: $20.00, received or postmarked
by July 20, 2018. Checks payable to Director
of Finance.
Mail Entry to:
2018 Roughwater Swim
799 Pi'ilani Street
Hilo, HI 96720
LATE REGISTRATION: $40.00 after July 20, 2018 and will be accepted until 7:15 a.m. day -of.
T-SHIRT: Each participant will receive a T -Shirt. Please indicate size on entry form.
**Late entries will not be guaranteed T-shirts.
COURSE CONDITIONS: The Richardson Roughwater Swim is held on a 1 (one) -mile course in open
ocean conditions. This is an event for swimmers with strong swimming skills. There may be waves
breaking over an outside reef near the channel entrance and ocean swells with strong current along
coastline. There will be course markers (buoys) and course marshals along the way.
FOR MORE INFORMATION, PLEASE CALL 961-8694 Monday - Friday 8:00 a.m. to 4:00 p.m.
SWIM COURSE: ,„
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