Second Annual Paddle for the Great Swamp May 16th (rain date May 17th), 2015 This 7-mile half-day downstream paddle starts at Patterson Environmental Park and ends at Green Chimneys. Celebrate at the Pavilion with a barbeque, live music, prizes, and festivities! Registration fee is $55.00. Pre-registration must be received at the address below no later than May 8th and is non-refundable. We will make every attempt to reschedule in the event of high or low water or inclement weather. Download forms from www.frogs-ny.com. Space is limited - check Website and Facebook for availability. We encourage you to use our sponsorship packets to get your friends involved! Many corporations have matching funds. The Silver Frog award goes to the person/team that raises the most funds! Important: This is for experienced paddlers. While there are no rapids, there may be beaver dams and downed trees to negotiate. Please bring a clean boat to protect our waterway. Checks only, payable to Friends of the Great Swamp (a 501(c)3 not-for-profit). FrOGS - Friends of the Great Swamp PO Box 373, Pawling, NY 12564 www.frogs-ny.org [email protected] Facebook: frogs-NY Second Annual Paddle for the Great Swamp May 16th (rain date May 17th), 2015 This 7-mile half-day downstream paddle starts at Patterson Environmental Park and ends at Green Chimneys. Celebrate at the Pavilion with food, live music, prizes and festivities! Launching will be staggered from 8:30-10:00 AM at the Patterson Recreation Center (Front Street). Boaters will register, drop off their Kayak or canoe, then park near the Center. Shuttles will be provided. Paddle will end at Green Chimneys where you will be met by music, lunch, prizes and fun! Registration fee is $ 55.00. Pre-registration must be received at the address below no later than May 8 th and is nonrefundable. Please remember to include your signed liability form (in this packet)! We will make every attempt to reschedule in the event of high or low water or inclement weather. Space is limited. Check website or Facebook for availability. We encourage you to use the sponsorship page (in this packet) to get your friends involved! Many corporations also have matching funds. The Silver Frog award will go to the person/team that raises the most funds. There is cell service in most of the swamp. Please bring a clean boat to protect our waterway. Rules and Regulations: Important: Paddlers should be experienced and have good paddling skills. While there are no rapids, there may be beaver dams and downed trees to negotiate Entrants must be over 12 years of age in order to participate; entrants ages 12-15 MUST paddle with a guardian 21 or older and those 16-18 may paddle tandem with another in that age bracket. A legal guardian MUST be available at the starting line and the finish line and MUST sign the release form. * Paddlers must provide their own safety equipment and must wear a USCG-approved Personal Flotation Device (PFD) FrOGS will provide a safety whistle which must be accessible in each boat. Paddlers may encounter otter, mink, beaver, turtles, herons and other wildlife – waterproof cameras are suggested. No alcohol is permitted. Anyone who appears to be under the influence of alcohol or other drugs will be escorted off river. Paddler #1 _____________________________________ Paddler # 2 ____________________________________ Address _________________________________________ Address ______________________________________ City/State/Zip ____________________________________ City/State/Zip __________________________________ Email _________________________________________ Email________________________________________ Please provide email so we can alert you to any changes due to weather, etc. You will be able to unsubscribe at any time. Cell Phone ______________________________________ Cell Phone ____________________________________ _______Adult: $55.00 ______Adult (in same boat): additional $15 ______ Youth (12-16 in same boat): additional $10 Launch time preference: Early Late You will be contacted with a specific launch time between 8:30-10:00 AM. Lunch is available FREE to all paddlers and will be available for purchase for friends and family. Just let us know how many of each: ________Lunch ________Vegetarian _________Vegan ________Gluten-Free Send checks only, payable to Friends of the Great Swamp (a 501©3 not-for-profit) and this form to: Friends of the Great Swamp, PO Box 373, Pawling, NY 12564 Friends of the Great Swamp (FrOGS) - www.frogs-ny.org / Facebook: FrOGS-NY United States Canoe Association Competition * Cruising * Conservation * Camping * Camaraderie AMATEUR ATHLETIC WAIVER AND RE-LEASE OF LIABILITY **** READ BEFORE SIGNING **** Name of Event: ___Paddle for the Great Swamp____ Date(s) of Event: _____________________ In consideration of being allowed to participate in any way in the UNITED STATES CANOE ASSOCIATION athletic sports program, related events and activities, the undersigned acknowledges, appreciates, and agrees that: The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death; and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and, I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others and assume full responsibility for my participation; and, I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual or significant hazard during my presence or participation, I will remove myself from participation and bring such hazard to the attention of the nearest official immediately; and, I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS the UNITED STATES CANOE ASSOCIATION and _________________________________________________ (name of club, affiliate or sponsor), their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of premises used to conduct the event (“RELEASEES”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE. I acknowledge that I am aware of the safety rules and regulations applicable to this event including the use of life jackets and lightning safety, and that I have read the US CA sanctioning guidelines and will attend the pre-event/pre-race meeting. I also acknowledge that photographs and video may be taken of me in my participation in and attendance at this event, and hereby freely agree to allow without restriction all uses of such photos and videos in the reporting of this race, and/or in the promotion of this event, its location, other sporting events, sport in general, and/or related purposes. I HAVE READ THIS RELEASE OF LIABILITY AND AS SUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUB STANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. X _________________________________________DATE SIGNED: ________________________________ (Participant’s Signature) X _______________________________________________________________________________________ (Participant’s name and address) Please print FOR PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT THE TIME OF REGISTRATION)This is to certify that I, as parent/ guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above, of all the Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child’s involvement or participation in these programs as provided above, EVEN IF ARISING FROM THE NEGLI- GENCE OF THE RELEASEES, to the fullest extent permitted by law. I further agree to the photographic and video release set forth above. X ____________________________________________________________ ______________________________ (Parent / Guardian Signature) Date Signed (Emergency phone number) Second Annual Paddle for the Great Swamp May 16th (rain date May 17th), 2015 PO Box 373, Pawling, NY 12564 www.frogs-ny.org Name: ____________________________________ [email protected] Facebook: frogs-ny *Email: _________________________________________ I will be participating the Great Swamp Fundraising paddle and ask for your sponsorship. These funds will support Friends of the Great Swamp's protection, education, and research programs; in the last 25 years FrOGS has helped acquire 2,000+ acres, conducted water quality and turtle studies, and sponsored hundreds of educational programs about the unique and valuable Great Swamp. Please make checks payable to FrOGS (a 501(c)3 not-for-profit). Your donation is tax deductible. Name of Sponsor *Email 1 Mile Pledge Amount Pledge Amount x 7 (miles) $ Total Given Date Received Total $ 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. *Email will be added to the FrOGS' email list. You can unsubscribe at any time. Be on the winning team - FUN and Fundraising!
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