Liability Release Form

I_____________________________________________ the enrolled participant and/or the parent / guardian of the participant, agree and understand that swimming is a HAZARDOUS activity. I recognize that there are risks inherent in the sort of swimming, including but not limited to paralyzing injuries and swimming pool accidents.

The participant hereby agrees to participate in the swim lessons and agrees to indemnify and hold harmless Gray Whale Swim School, it’s instructors, employees, managers and owners against any liability resulting from any injury that may occur to the participant while practicing swim lessons.

The participant also agrees to indemnify Gray Whale Swim School for any damages incurred arising from claims, demand, action or cause of action by the participant. The participant authorizes any representative of Gray Whale Swim School to have the participant treated in any medical emergency during their participation in the swim lessons. Further, the participant and/or guardian agrees to pay all costs associated with medical care and transportation for the participant.

I acknowledge that Gray Whale Swim School’s goal is to help participants become safe swimmers and I understand participants learn at different rates. I accept that Gray Whale Swim School makes no claim or guarantee that the participant will be swimming after a particular series of lessons.

I acknowledge that Gray Whale Swim School is not responsible for any lost or stolen items. In completing the registration I acknowledge that the child/parent is not suffering from any medical /allergy condition which the staff should be aware. I have carefully read the Policies including the 24 hour cancelation policy and Liability release and sign it with full knowledge of its contents and significance.

Signed:____________________________________ Date:________________________

(Participant or Parent/Guardian)

Participant’s Names

1-_______________________________________

2-_______________________________________

3-_______________________________________

4-_______________________________________

Medical conditions and/or allergies ____________________________________________________________________________ ____________________________________________________________________________________________________________________________________________________________________________________________________________________

How did you hear about us? ____________________________________________________