Landcrew Declaration

Official use only

Hawkesbury Canoe Classic 2020

 

Canoe No: ___  ___ ___

 

 

LANDCREW DECLARATION AND INDEMNITY

 

I Agree to assist

____________________________________________________________________

(Paddler full name)

 

as follows:—

 

  • To be available to assist at the start, the finish and checkpoints D and I.

  • We will not visit any other checkpoint unless notified to do so by officers to pick up the above paddlers.

  • Will obey all officials with regards to parking at major checkpoints.

  • To indemnify the Association, their officers, agents or sponsors against any claims or demands whatsoever made by any person or persons arising out of or in conjunction with my participation in The Hawkesbury Canoe Classic.

  • To hold the Association, its officers, servants, agents and sponsors harmless against loss or injury of any kind incurred or suffered by me arising out of or in conjunction with my involvement in the Hawkesbury Canoe Classic whether or not such loss or injury shall have been caused or contributed to by any act, omission or negligence of the Association, its officers, servants, agents or sponsors.

  • That the Hawkesbury Canoe Classic insurance for the event does not cover support crew or there equipment.

I declare that:

  • That I and any others in the landcrew do NOT have COVID-19 or its symptoms or 

  • That I and any others in the landcrew have NOT been in direct contact with a known case of COVID-19 in the previous 14 days

  • That I and any others in the landcrew do do NOT have Flu-like symptoms or have a high health risk (e.g. due to age or pre-existing health conditions).

  • I and any others in the landcrew have NOT travelled internationally in the previous 14 days.

 

I have read and understood the foregoing and acknowledge that if, in the opinion of the Hawkesbury CanoeClassic, If we fail to comply with any of the foregoing, the paddler(s) will be disqualified from the event.

 

Contact details are as follows:

 

Landcrew Leader’s Name: _______________________________________________

 

Mobile Phone Number: __________________________________________________

 

Car

Make:  _______________________________________

 

Colour: ___________________________________

 

Registration Number:________________

 

Landcrew Leader Signature: ______________________

Dated:  __/__ /2020

© 2020 by Hawkesbury Canoe Classic Association Inc.

ABN: 73 350 155 706 | CFN 13028

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Tel: 0458674948

P.O Box 8050 Summerland Point NSW 2259

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