Waiver Form

Aquatic Adventures NC Waiver

In the event of a medical emergency, the undersigned Parent/Guardian of the named participant, hereby grants authorization to Aquatic Adventures NC and its representatives, to employ any legally licensed physician or healthcare facility and to direct and/or order emergency medical treatment for the named participant.

I, the undersigned, further agrees that neither Aquatic Adventures NC, nor any of its representatives shall be liable under any circumstances to anyone for exercising the foregoing authority in the event of an emergency.

I, the undersigned, as the parent or legal guardian of the child listed on this application in consideration of the request and permission to participate in Aquatic Adventures NC programs, including, but not limited to Pool Swim Lessons, Open Water Swimming lessons, Scuba Diving Certifications, snorkeling lessons, surfing lessons, and swimming lessons taught at customers swimming pools, hereby assume full responsibility for all risks of injury or loss which may result from my son/daughter’s participation in this activity and hereby agree to hold harmless, release and forever discharge Aquatic Adventures NC, its officers, agents and employees from and waive any and all claims and demands whatsoever which the persons, or damage to or loss or destruction of any property arising or resulting directly or indirectly from my son/daughter’s participation in the aforementioned program and occurring during said participation or any time subsequent thereto, save and except that the above provisions shall not be applicable injury to or death of persons, or damage to or loss of property of which is the result of gross negligence or terms of this release shall serve as a release and assumption of risk for my son/daughter, heirs, executors and administrators and for all my family members.

I understand, agree, and acknowledge that there are risks inherent in swimming activities conducted by Aquatic Adventures NC including, but not limited to paralyzing injuries, brain injuries, and death. These activities may be of a hazardous nature and include strenuous exercise and vigorous physical activities. With the full understanding of the facts, I state, that to the best of my knowledge, my son/daughter listed on this application has no medical, physical, mental or emotional health condition which would hinder or prevent his/her active participation in Aquatic Adventures NC programs. If families must cancel a swim lesson then Aquatic Adventures NC must receive a phone call within 24 hours for rescheduling. All private courses are non-refundable after booking.

I also understand that photos are occasionally taken during scheduled activities and that any photo taken of my child may be used for Aquatic Adventures NC publicity purposes.

I have read and understood, and I agree with the informed consent and release and the emergency medical authorization outlined above as it relates to my son/daughter.

A note to Parents or Guardians *

Thank you for entrusting Aquatic Adventures NC with your child’s swimming instruction. We are excited to share our love of swimming with your family. From basic water safety to open water adventures, our staff is here to make swimming a fun, positive, learning experience.

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