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Step 1 of 4 (Registration Agreement)

QCWOC - Quad Cities Women's Outdoor Club - Membership

in Davenport, IA

  • New Application - Annual (12 Month Rolling)

    Membership is through the following year from the date that one join's or renews with QCWOC.( e.g., joining on May 31, 2020, means a membership expires on May 31, 2021).

  • Renewal - Annual (12 Month Rolling)

  • New Application - Genesis Health System Employee Member
    Authorization Code Required. Please call 563-421-6865 on how to obtain code.

  • Renewal - Genesis Health System Employee Member
    Authorization Code Required. Please call 563-421-6865 on how to obtain code.

Waiver and Release

The Quad Cities Women's Outdoor Club assumes no responsibility for personal injury, damaged equipment, theft or loss taking place on any club activities, which it sponsors. All members participate at their own risk. All applications must be online, and in signing the liability release, the applicant agrees to the below conditions.

I acknowledge that by either becoming a member of "Quad Cities Women's Outdoor Club" or participating in an event or events organized by the "Quad Cities Women's Outdoor Club" (the Event) involves an above average risk of personal injury to me and my property, and I knowingly and voluntarily agree to the terms and conditions outlined in this CONSENT, WAIVER, and RELEASE FROM LIABILITY form. In consideration and exchange for being permitted to become a member or participate in the Event, I agree to the following:

I am over eighteen (18) years of age, in good health and have no physical conditions that affect my ability to compete in the Event and have not been advised otherwise by a medical practitioner. I am covered by medical insurance, individually or as part of an organization or assume all liability for any injury(ies) that may occur to my person as a result of participation in QCWOC activities. I agree that before I participate in any portion of the Event, I will inspect the related facilities, site, and equipment. I will immediately advise Event personnel of any unsafe condition that I observe. I will refuse to participate in the Event until all unsafe conditions have been remedied.

I assume full responsibility for all risks associated with my participation as a member or non-member of the "Quad Cities Women's Outdoor Club" and in the Event and the risk of injury caused by the condition of any property, facilities, or equipment used during the Event, which may not be
foreseeable by anyone at any time. I hereby release, waive, discharge and agree not to sue the "Quad Cities Women's Outdoor Club," its sponsors, along with their parent companies, affiliates, and their successors and assigns (Corporations), their respective employees, shareholders, members, officers, directors, agents, or volunteers for and from any injuries, death, losses, damages, liabilities, or expenses that are caused or alleged to be caused by their negligent acts or omissions, or the condition of the property, facilities or equipment used for the Event.

I agree to indemnify, defend, and hold harmless Corporations and their employees, shareholders, members, officers, directors, agents, and volunteers from and against any claims, causes of action, damages, judgments, liabilities, fees (including attorney's fees), costs and expenses incurred by Corporations as a result of my unlawful actions or failures to act during the Event.

I give permission for the "Quad Cities Women's Outdoor Club" and Corporations to use my biography, name, and likeness in connection with the Event, and any publicity, advertising, and promotions. I waive any right that I may have to inspect or approve of any finished product. I assign the "Quad Cities Women's Outdoor Club" and Corporations all rights I may have to my biography, appearance, name, voice, photo, video, or film likeness. I consent to appear in broadcasts of the Event in perpetuity.

I agree to wear appropriate safety equipment, as may be established by industry or community standards and common safety practices, during all activities at the Event. In connection with any injury or other medical conditions I may experience during the Event, I authorize medical treatment deemed necessary by medical personnel if I am not able to act on my own behalf. I agree not to sue any applicable medical practitioners who may provide medical treatment to me for malpractice. I agree to conduct myself in a professional and decent manner and treat all colleagues, officials, and club members respectfully.

This waiver is a legally binding agreement and will be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law. Any provisions found to be void or unenforceable shall be severed from this agreement, and not affect the validity or enforceability of any other provisions.


Please Sign Below

Your electronic signature is the online equivalent of your ink-on-paper signature, and can be provided by typing your name where indicated. The electronic signature will signify your understanding, acceptance, and authorization to accept the conditions of this legal document, including the following statements:

  • I have read, have understood, and do accept the agreement above.
  • I understand that this is a legal document with effects that I approve and authorize.
  • The registrant is the person(s) whose name is submitted as the recipient of the goods and services provided as a result of this transaction.
  • I am authorized to agree to the terms of this document on behalf of the registrant.
  • If the registrant is under 18 years of age, incapacitated, or mentally challenged, I assert that I am the parent/legal guardian or otherwise authorized to execute a legally binding agreement on behalf of the registrant.

Electronic Signature

You must be 18 years of age to legally complete this registration. If the registrant is under 18, an authorized adult must complete this form.
If the person you are registering (registrant) is under 18, do not enter his/her age. You will do that on the next step. Enter your age here as the person completing the form.

Multiple signers should separate their signatures with commas.

This agreement was generated at 2:49:07 PM EDT on 05/14/2021.

Click here to print the agreement.

You are encouraged to keep a copy of this agreement for your records. This agreement was generated at 2:49:07 PM EDT on 05/14/2021

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