San Diego Wednesdays @ 7:30PM North Park Rec Center | Starts Jan 30th 10 Weeks | 4 Teams | $55* *If you need a credit for last season, hollar at your Captain for the code. Register here: Hey fancy face, what's your name?* First Last Email* Phone*I heard about the Yacht Club from:Registration fee*10 Weeks of Dodgeball$55 - San Diego LeagueIdentify YourselfFemaleMaleNeutralRather not sayPick a shirt sizeX-smallSmallMediumLargeX-LargeXX-LargeXXX-LargeHow experienced are you at dodgeball?*Does middle school count?Only a few weeks.I've been playing for a year or more.Do you have a coupon code? I sure do. Coupon Emergency ContactIn the unlikely event of a water landing, your dodgeball can also be used as a floation device. Just to be on the safe side give us an emergency contact.Emergency Contact Name* First Last Emergency Contact Phone*Waiver and ReleaseI HEREBY WAIVE AND RELEASE, indemnify, hold harmless and forever discharge the Eagle Rock Yacht Club (“ERYC”), The City of San Diego, San Diego Recreation and Parks Department, and/or North Park Recreation Center, and its agents, employees, officers, directors, affiliates, successors and assigns (the “Released Parties”), of and from any and all claims, demands, debts, contracts, expenses, causes of action, lawsuits, damages and liabilities, of every kind and nature, whether known or unknown, in law or equity, that I ever had or may have (the “Claims”), arising from or in any way related to my participation in any of the events or activities conducted by, on the premises of, or for the benefit of, ERYC provided that this waiver of liability does not apply to any acts of gross negligence, or intentional, willful or wanton misconduct of the Released Parties.. I understand that the activities, in which I will participate, are inherently dangerous and may cause serious or grievous injuries, including bodily injury, damage to personal property, and/or death. On behalf of myself, my heirs, assigns, administrators, executors and next of kin, I waive all Claims for damages, injuries and death sustained to me or my property, that I may have against the aforementioned Released Parties for such activity, including Claims in tort, contract, equity or otherwise.. I acknowledge, agree, and represent that I fully and completely understand the nature of dodgeball, and that I am qualified, in good health, and in proper physical condition to participate in such activities. I further agree and warrant that if at any time I believe that any conditions to be unsafe, I will immediately discontinue further participation such activity.. I fully understand that if any medical treatment is provided to me, with or without my consent, such treatment will be first aid type treatment, and I waive any and all Claims arising from or based upon the provision of such treatment, including all Claims based upon the negligent provision of such treatment.. Photography Release: By participating in or attending any activity in connection with ERYC, I consent to the use of any photographs, pictures, film or videotape taken of me, or provided by me, for publicity, promotion, television, or any other use, and expressly waive any right of privacy, compensation, copyright or other ownership right connected to same.. I acknowledge that ERYC is designed to and does offer a service to its members and participants encompassing many aspects of the fitness and social activity spectrum. I further acknowledge that ERYC is not in the business of selling or leasing sporting equipment, exercise equipment, or other such products to the public, and the use of such items is incidental to the service provided by ERYC. I acknowledge and agree that ERYC does not place such items into the stream of commerce.. This WAIVER AND RELEASE is intended to be interpreted as broadly and all encompassing as permissible under California law.. By execution of this WAIVER AND RELEASE, I fully and completely assume any and all risks of participation in any and all activities relating to EYRC and take full responsibility and waive any Claims, including claims of personal injury; death or damage to personal property, associated with ERYC including but not limited to using the facility and its equipment in any manner, form or fashion, and practicing and/or engaging in any extreme sports, X-games or action sports activities, events or other related activities on and off the premises.. This WAIVER AND RELEASE contains the entire agreement between the parties, and supercedes any prior written or oral agreements between them concerning the subject matter of this WAIVER AND RELEASE. The provisions of this WAIVER AND RELEASE may be waived, altered, amended or repealed, in whole or in part, only upon the prior written consent of all parties. The provisions of this WAIVER AND RELEASE will continue in full force and effect even after the termination of the activities conducted by, on the premises of, or for the benefit of ERYC, whether by agreement, by operation of law, or otherwise.. I have read, understand and fully agree to the terms of this WAIVER AND RELEASE. I understand and confirm that by signing this WAIVER AND RELEASE I have given up considerable future legal rights. I have signed this Agreement freely, voluntarily, under no duress or threat of duress, without inducement, promise or guarantee being communicated to me. My signature is proof of my intention to execute a complete and unconditional WAIVER AND RELEASE of all liability to the full extent of the law. I am 18 year of age or older and mentally competent to enter into this waiver.. By checking the "Yes, hell I even pinky-promise", you acknowledge, agree and accept this as your digital signature. P.S. We reserve the right to refuse service to anyone at any time. Under federal anti-discrimination laws, businesses can refuse service to any person for any reason, unless the business is discriminating against a protected class. At the national level, protected classes include: Race or color. National origin or citizenship status.Waiver and Release of Liability* Yes, hell I even pinky promise Total $0.00 Credit Card* American ExpressDiscoverMasterCardVisa Card Number Expiration Date Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Security Code Cardholder Name This iframe contains the logic required to handle Ajax powered Gravity Forms.