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Waiver and Release of Liability

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Waiver and Release of Liability

Birthday
Month
Day
Year
Are you a weak or non swimmer?
Yes
No
Are you on medication or have health problems that may affect participation?
Yes
No
Are you under the age of 18?
Yes
No

Emergency Contact

PLEASE CAREFULLY READ THE FOLLOWING

I agree to participate in Sea Skill’s training course. I understand that this program will have both classroom and on-the water sessions, and, like any program involving water, is inherently dangerous because of the possibility of immersion and even death. I also understand and am aware that each participant will be engaging in the training that involve risk of serious injury, which might result not only from their own actions, inactions or negligence but the actions, inactions or negligence of others or the conditions of the premises or of any equipment used.     

I agree to abide by the rules and regulations as set forth by the National Safe Boating Council (NSBC), Sea Skills, and Captain Dennis Kimerer. I agree to obey the instructor(s) and the supervisor(s) of the training. I promise to wear any safety equipment as required by an official or instructor such as, but not limited to personal flotation devices, non-slip footwear and appropriate clothing for the weather conditions. Prior to departing the ramp or dock, a pre-departure checklist and safety brief will be conducted to inspect the equipment to be used, and if anything is unsafe, they will immediately advise their instructor or supervisor of such conditions and refuse to participate until condition(s) is corrected.


I certify that I am in reasonably good health and that I am able to participate in this activity without adversely affecting any health problems. I will notify the supervisor and instructor(s) of any condition that may affect any participation and of any medication which I am currently taking.


Having read this waiver, I do hereby agree to release, waive, hold harmless, and discharge the Sea Skills FL LLC, Riverside Enterprise Charters LLC, Dennis Kimerer, all sponsors, representatives and volunteers, any involved government organizations or other organizations and the boards, trustees, officers, employees, or volunteers of any of them, and if applicable, owners and leasers of premises used to conduct this event  from any and all liabilities to the undersigned, his or her heirs and next of kin for any and all claims, demands, losses or damages or damage to property, caused or alleged to be caused in whole or part by the negligence of the persons, entities or otherwise. 


I also grant permission to Sea Skills FL LLC and its sponsors to use any photographs, motion pictures, recordings or any record of this training for educational and legitimate purposes.

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