DASA 2024 Adult Membership/Waiver Please enable JavaScript in your browser to complete this form.First Name *Last Name *Date *Email *Phone *Team (If known)Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeCanadaAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryEmergency Contact *FirstLastEmergency Contact Phone Number *Your signature is required on this form, to be completed after reading, and agreeing to all below. By signing the form and checking all terms and conditions check-boxes, you waive DASA of all liability, claims, assumption of risk and indemnity regarding any claims.Terms & Conditions *I agree to the terms and conditions.I hereby release and discharge the City of Lethbridge and the Dragonboat Association of Southern Alberta (herein referred to as “DASA”), its agents, coaches, directors, employees, members, officers, sponsors and volunteers (herein collectively referred to as “personnel”) from all claims, demands, actions, judgements, and executions which the undersigned’s heirs, successors, executors, administrators, representatives, or assigns may have, or claim to have for any and/or all personal injuries, known and unknown, and injuries to property,real or personal, caused by or arising out of, the participation in the activity of dragon boating not limited to dry land training (e.g. physical workouts), pool practices, on water practices, and/or racing at any venue.Terms & Conditions *I agree to the terms and conditions.I, the below-signed, fully understand, acknowledge, and agree that this sport activity has inherent risks involved, and I am fully aware of the nature of these risks. Notwithstanding these risks, I hereby indemnify and waive any and all rights, claims, prospective causes of action, cause of action, etc. as heretofore enumerated, and I hereby assume any and all risk associated with my participation in this sporting activity. I understand that paddling on lakes, reservoirs and rivers involve certain dangers, not all of which can be listed here. Among the more obvious and frequent are: • Exposure to variable extremes in weather that may cause injury due to heat or cold, and which may prevent or force route and itinerary changes. • Contact with and possible immersion in cold water for undetermined periods, leading to hypothermia and possible suffocation. • Exposure to capsizing and sinking, rocks, trees, bridge abutments, log jams, rope entanglement, current patterns, and other possible sources of “in water” injury and entrapment. • Unfamiliar terrain and routes where dragon boats could become separated from the party. • Transport by public or private motor vehicle. • Travel in remote locations with poor communications and inability to get rescue or medical assistance easily or quickly.I confirm that I am 18 years of age or older. *I agree to the terms and conditions.I confirm that I am 18 years of age or older. I am not relying on any oral or written statements, if any, made by DASA and its personnel, whether in brochure, advertisements or in individual conversations, to lead me to become involved in this program on any basis other than my assumptions of the risks involved. I accept all of the risks and the possibility of death, personal injury, property damage, and loss, resulting from my involvement with practice and racing events. I acknowledge that DASA personnel have been available to fully explain the various hazards and risks associated with this activity. In addition, I agree to read the DASA Safety Procedures on the DASA website under Documentation.Covid Waiver, Release and Imdemnity *I agree to the terms and conditions.COVID Waiver, Release and Indemnity: I am aware that COVID-19 is a worldwide pandemic and is extremely contagious. DASA has put in place preventative measures to reduce the spread of COVID-19; but cannot guarantee that I will not become infected with COVID-19. Further, participating could increase my risk of contracting COVID-19 and I may be exposed to, or infected by, COVID-19 and such exposure may result in personal injury, illness, permanent disability, or death. I agree To FOREVER RELEASE AND INDEMNIFY DASA from any action related to my becoming exposed to or infected by COVID-19 as a result of, or from, anyaction, omission or negligence of myself or others, including but not limited to DASA.Confirmation and Privacy Information / Statement, Photo release *I agree to the terms and conditions.I, the below signed, have read this waiver/release carefully before signing, and confirm that I understand all of its terms and conditions. I execute it voluntarily and with full knowledge of its significance. I understand that it will be binding, not only by me, but also by my heirs, next of kin, personal representatives and assigns. I agree that, even though I, my child or charge, or organization may not live/be in Alberta, the laws of the province of Alberta and the City of Lethbridge by-laws govern this waiver of liability and release of claims and will be enforceable in any court of law.Privacy Statement: DASA respects your privacy. We do not rent, sell or trade our mailing lists or information or photos (electronic or digital). By completing this form, or by providing information to us and participating in our festival, you will be consenting to our use of such information for DASA’s purposes and related activities. DASA uses the information you provide to organize and run our practices, to keep you informed and updated on the activities of the DASA related promotions, to promote special events and sponsorships, and all other activities related to the events held by DASA from time to time. If you wish us not to utilize your information or photos for our purposes, please email DASALethbridge@gmail.com with this request. Please note if you notify us that you do not wish us to use any information for our purposes as set out above, communications to you of what happens during events or information relating to events may not be communicated to you, even though you have registered as a member.Signature * Clear Signature Please draw with your finger or mouse to complete the Signature. By signing above you agree to the terms that have been previously stated in this form.2024 Annual Adult Membership Fee *Price: $36.32DASA’s 2024 Annual Adult Membership Fee covers membership from Dec. 1, 2023 to Nov. 30, 2024. This year’s annual fee amount is $35 + $1.32 Stripe fee (Stripe is an online payment processor).Stripe Credit Card *CardName on CardTotal *$0.00Sign Waiver