Accident Waiver And Release Of Liability Form (Page 2 of 3) in pdf

CLASSIFICATION

↓

Check Only One



1. Open Class

(For race teams of more than 2 canoeists or a craft not classified as a canoe or kayak)



2. K-2 – Kayak 2 Person

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3. C-2 Long - Canoe 2 Man (18’7” to 20’6”)

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4. C-2M Canoe – Canoe 2 Man or 2 Women (16’7” to 18’6”) Experienced

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5. C-2S Canoe – Canoe 2 Man or 2 Women (Up to 16’6”) Experienced

FINISH / TAKE OUT AREA

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6. C-1 Canoe – Canoe (1 Man or Woman) Experienced



Warming Tent with Coffee/Hot Chocolate

7. C-2 Mix – Canoe (1 Man and 1 Woman any length) Experienced

sponsored by Darling’s Agency

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8. K-1L – Kayak 1 Man or Woman (Kayak over 13’4”)

Free Chili & Chowder sponsored by

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9. K-1S – Kayak 1 Man (13’4” and under)

Sea Dog Brewing Company

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10. K-1SW – Kayak 1 Woman (13’4” and under)

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11. K-1 Rec. – Kayak (1 Man or Woman – any length)

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12. Century Class - combined ages of two people 100 years or more

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13. Senior/Junior - (1 Adult & 1 Youth 12-16 year old)

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14. C-2 Corporate – Recreation Name of Business: __________________________________________



Please Print Clearly

15. C-2 Women – (Canoe 2 Women) Recreation

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16. C-2 Mix – (1 Man and 1 Woman - any length) Recreation

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17. C-2M Canoe – 2 Man (16’7” to 18’6”) Recreation



18. C-2S Canoe – 2 Man (up to 16’6”) Recreation



19. C-1 Canoe – 1 Man or Woman (any length) Recreation



20. C-2M Canoe – 2 Man (16’7” to 18’6”) Beginner

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21. C-2S Canoe – 2 Man (up to 16’6”) Beginner



22. C-2 Mix – Canoe 1 Man and 1 Woman (any length) Beginner



23. C-2 High School Rec. – Canoe

(any length, both participants must be 16-18 years of age & attending High School)

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24. C-2 College Rec. – Canoe (any length, both participants must be current college student)

•

Registration payment for entire boat will be accepted online @

(this form must also be filled out, mailed, e-mailed, faxed or brought back to Parks and Rec prior

to deadline).

•

The Race Staff reserves the right to determine participant’s final race classification.

•

All canoes will meet “ACA WW Open Canoe Specifications”.

•

A beginner is one

who has not finished 1

, 2

, or 3

in any organized race in

(or any one person in a boat)

any class.

•

Recreation Class: width of canoe at 4” water line must be at least 16% of the length of the canoe.

Please make all checks payable to: CITY OF BANGOR

Mail to: BANGOR PARKS & RECREATION, 647 MAIN STREET, BANGOR, MAINE 04401

For more information call (207) 992-4490 Fax: 207-947-1605

IMPORTANT: All members of a boat must sign / give permission on the Release Form on other page

before registration is accepted.

NO REFUNDS

AWARDS WILL BE PRESENTED IMMEDIATELY FOLLOWING THE RACE AT GOMEZ PARK

(TAKE OUT AREA) ◄

►AT APPROXIMATELY 3:00PM ◄

Accident Waiver And Release Of Liability Form Page 2

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