Red Lake River Rendezvous
Tour Participants Registration.
First name:*
Last name:*
Country*:
Address:*
City:*
State:*
Zip:*
Day Phone #: *
Evening Phone #: *
Email:*
I am signing up to paddle on the tour:
I am signing up as a Volunteer
I will be participating in the tour on
(check all that apply)
05/30
05/31
06/01
06/02
06/03
06/04
06/05
06/06
06/07
06/08
06/09
06/10
I am interested in being a captain*:
Yes
No
Maybe
I have canoe/ kayak that I will use*:
Yes
No
NA
I would rate my skill with canoe/Kayak as*:
(low)1
2
3
4
5
(High)
I have arranged transportation of my canoe/kayak to the starting point*
Yes
No
I have arranged transportation of my canoe/kayak from ending point*
Yes
No
Red Lake River Rendezvous Liability Waiver:
I have read and understand the rules and instructions for the Red Lake River Rendezvous Tour (Tour). I am entering this Tour at my own risk. I relieve all Tour sponsors, supporters, contributors, and any other parties connected with this Tour in any way together with their respective successors and assigns from all claims or liabilities arising out of my participation in the Red Lake River Rendezvous Tour even though such claim or liability may arise out of negligence or carelessness on the part of any person named in this waiver. I agree to wear a properly fitted and fastened Personal Flotation Device (PFD) while participating in on-water activities. I will consume no alcohol prior to or during on-water activities. I will follow the advice of the tour captain in charge of participant safety while on-water activities are taking place. I understand that I may be removed from the Tour if I do not follow the rules of the Tour. I consent to receive medical treatment which may be deemed advisable in the event of injury or illness during the Tour. I give my permission for the free use of my name and/or picture in any media releases, web promotions, broadcasts, or other accounts of this event.
Emergency Contact Information*
Emergency contact name:*
Relationship:*
Address:*
Phone #:*
Your Medical Insurance Carrier:*
Your Medical Insurance #:*
Submitting this registration says that I agree to all information in the liability waiver.
Please submit only once.