This form will only need to be completed once.  This is not an event registration form, since we do a “first come first served” format for most events.  

The personal information submitted in this form will be used by our staff when applying for grants.  That way, we can continue to provide services completely free for our AccesSurfers.

Pre-registration is only required for Wounded Warrior events and specialized clinics.

If you have any questions, please email us at: info@accessurf.org 

Thank you!

Participant Form and Waiver
How did you hear about AccesSurf?
Media/Photo Release *
I have read and agree to the terms of the Waiver and Release of Liability (Below) *

 

Waiver and Release of Liability

In consideration of being allowed to participate in any way in Accessurf Hawaii, Inc. and its member organizations athletics/sports programs, and related events and activities, the undersigned:

  1. Agree that prior to participating, they each will inspect the facilities and equipment to be used, and if they believe anything is unsafe, they will immediately advise their coach or supervisor of such condition(s) and refuse to participate.
  2.  Acknowledge and fully understand that each participant will be engaging in activities that involve risk of serious injury, including permanent disability and death, and severe social economic losses which might result not only from their own actions, inactions or negligence, but the action, inaction or negligence of others, the rules of play, or the condition of the premises or of any equipment used. Further, that there may be other risks not known to us or not reasonably foreseeable at this time.
  3.  Assume all the foregoing risks and accept personal responsibility for the damages following such injury, permanent disability or death.
  4.  Release, waive, discharge and covenant not to sue Accessurf Hawaii, Inc. its member associations, its affiliated clubs, their respective administrators, directors, agents, coaches, and other volunteers or employees of the organization, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and leasers of premises used to conduct the event, all of which are hereinafter referred to as “releases”, from demands, losses and damages on account of injury, including death or damage property, caused or alleged to be caused in whole or part by the negligence of the release or otherwise.
  5. Acknowledge that each participant has reviewed the latest information and guidance from public health authorities regarding the risks associated with epidemics pandemics, such as COVID-19; fully understands those risks; and agrees to take appropriate measures to mitigate those risks.