Anguilla
Youth Sailing Club
____________________________________________________________________________________________
I,
the undersigned parent or legal guardian (hereafter referred to as the Parent)
of _________________________________ (hereafter referred to as the
“Child”), request that my Child be allowed to participate in the Anguilla
Youth Sailing Club youth program (the Program) at the Anguilla Sailing Center
in Sandy Ground. This agreement shall remain in effect until the Club receives
written notice of the cancellation of this Consent or until the end of the
Program. In return for the Child being permitted to take part in the Program
and to use the facilities and property of the Club I make the following
promises and warrant the truth of the following facts.
1.
I am familiar with the Program offered and the starting and ending
times of each day’s session. I understand that officers and employees of the
Club are available to discuss the program if I should wish additional
information. I understand that I am solely responsible for the arrival and
departure of my Child at the beginning and end of each day’s session. I will
not allow my Child to remain on Club premises after the day’s session
without appropriate supervision or the written permission of the Club. I agree
that the Club will have no responsibility for the supervision of my Child at
times other than during scheduled sessions. I understand the importance of
regular attendance as each day builds on prior day’s learning.
2.
I
will inform my Child that he/she is expected to cooperate with and follow the
directions of the instructors in charge of the program, to act in a manner
consistent with the spirit of good sportsmanship, and to respect the rights of
others.
3.
I
certify that my Child is in good health and I know no reason why he/she would
be incapable of participating in the Program. My Child knows how to swim. I
will immediately notify the Club if there is a change in my Child’s ability
to participate in the Program.
4.
WAIVER
OF LIABILITY:
I waive and release any right I, my heirs, distributes, guardians,
legal representatives and assigns may have or acquire to make a claim against,
sue, attach the property of or prosecute the Club or any of its members,
directors, officers, agents, employees and affiliated organizations (herein
referred to as “the releasees”) for monetary damages caused by injury to
my Child or damage to the property of my Child or myself arising from my
Child’s participation in the Program and use of the facilities and property
of the Club, whether or not the injury or damage results from the negligence
or other action, except intentional acts, of any of the releasees. (Please
initial to indicate you have read this paragraph. _________ / ________)
5.
ASSUMPTION
OF RISK:
I am aware that the Program may involve maneuvering a boat in deep waters in
potentially hazardous conditions. These hazardous conditions may include,
among other things, strong winds and waves, sudden and unexpected immersion in
deep water and collision with other watercraft or stationary objects such as
docks, pilings, boats, and buoys. With knowledge of the dangers involved, I
voluntarily ask that my Child be allowed to take part in the Program. I ACCEPT
ANY AND ALL RISKS TO MYSELF AND MY CHILD OF INJURY OR DEATH, AND PROPERTY
DAMAGE ARISING FROM PARTICIPATION IN THE PROGRAM AND THE USE OF THE FACILITIES
AND PROPERTY OF THE CLUB, WHETHER OR NOT CAUSED BY THE NEGLIGENCE OR OTHER
ACTION, EXCEPT INTENTIONAL ACTS, OF ANY OF THE RELEASEES. . (Please initial to
indicate you have read this paragraph. _________ / ________)
6.
INDEMNITY
AGREEMENT:
I agree to indemnify and hold the releasees harmless from any loss,
liability, damage or cost, including reasonable attorney’s fees, ,that may
incur due to my Child’s participation in the Program and use of the property
and facilities of the Club, whether or not such loss, liability, damage or
cost results from the negligence or other action, except intentional acts, of
any of the releases . (Please initial to indicate you have read this
paragraph. _________ / ________)
I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY
UNDERSTAND ITS CONTENTS. I AM AWARE THAT THE AGREEMENT INCLUDES A WAIVER OF
LIABILITY, AN ASSUMPTION OF RISK AND AN AGREEMENT BY ME TO INDEMNIFY THE
RELEASEES, AND I SIGN IT OF MY OWN FREE WILL.
Parent’s Signature
___________________________ Date
______________________________
Printed Name: ______________________________
Based on
Bremerton Yacth Club Youth Sailing, Jim Rogers
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