Snorkel Waiver.pdf

Snorkeling and Boat Passenger Waiver

Assumption of Risk and Complete Release of Liability

I UNDERSTAND THAT THE PURPOSE OF SIGNING THIS DOCUMENT IS TO EXEMPT AND RELEASE

___________________, THEIR OWNERS, EMPLOYEES, AGENTS, AND ASSOCIATED PERSONNEL, AND THEIR BOATS

(WHETHER OWNED, OPERATED, LEASED OR CHARTERED), HEREINAFTER REFERRED TO AS “RELEASED PARTIES”,

AND TO HOLD THESE ENTITIES HARMLESS FROM ANY AND ALL LIABILITIES ARISING AS A CONSEQUENCE OF THE

FOLLOWING, OR ANY OTHER ACTS OR OMISSIONS ON THEIR PART, INCLUDING BUT NOT LIMITED TO NEGLIGENCE

OF ANY TYPE.

1. I UNDERSTAND THAT THERE ARE INHERENT RISKS INVOLVED WITH SNORKELING AND BOATING, included

but not limited to equipment failure, perils of the sea, harm caused by marine creatures (including bites), acts of fellow

participants, entering and exiting the water, boarding or disembarking boats, and activities on the docks and I HEREBY

ASSUME SUCH RISKS.

2. I UNDERSTAND THAT I HAVE A DUTY TO EXERCISE REASONABLE CARE FOR MY OWN SAFETY AND I AGREE

TO DO SO.

3. I assert that I am physically fit to snorkel and ride on a boat and I will not hold the Released Parties responsible if I am injured as

a result of ANY problems (medical, accidental, or otherwise) which occur while snorkeling, riding on the boat, or otherwise

participating in the trip.

4. I will not remove my floatation device at any time while in the water. I acknowledge that doing so will constitute a violation of

safety rules and procedures for which I expressly assume the risk.

5. If I become distressed at the surface, I will immediately inflate my floatation device for flotation assistance.

6. I fully understand that the involved boat has limited medical facilities and that in the event of illness or injury appropriate

medical care must be summoned by radio and treatment will be delayed until I can be transported to a proper medical facility. I

agree in advance to these conditions.

7. The participating dive store and/or boat have made no representation to me implied or otherwise that they or their crew can or

will perform safe rescues or render first aid. In the event I show signs of distress or call for aid I would like assistance and will

not hold the Released Parties, their crew, dive boats or passengers responsible for their actions in attempting the performance or

rescue or first aid.

8. IT IS MY INTENTION BY THIS INSTRUMENT TO GIVE UP MY RIGHT TO SUE ALL PERSONS OR ENTITIES

REFERRED TO HEREIN, WHETHER SPECIFICALLY NAMED OR NOT, AND IT IS ALSO MY INTENTION TO

EXEMPT AND RELEASE ALL RELEASED PARTIES AND TO HOLD THESE ENTITIES HARMLESS FROM ANY AND

ALL LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH CAUSED BY

NEGLIGENCE OR GROSS NEGLIGENCE AND I ASSUME ALL RISK IN CONNECTION WITH SNORKELING AND

BOATING ACTIVITIES, INCLUDING BUT NOT LIMITED TO THE MAINTENANCE OF THE EQUIPMENT OR

ORGANIZATION OF THIS ACTIVITY.

9. I have carefully read this contract in its entirety, fully understand its contents, and agree to the terms and conditions of this

contract on behalf of myself, my heirs, and my personal representatives. This document constitutes the final and entire

agreement between Released Parties and the undersigned. There are NO WARRANTIES expressed or implied, which extend

beyond the description of the activity listed on this form. THIS IS A COMPLETE RELEASE OF LIABILITY AND A

LEGALLY BINDING CONTRACT.

I have read this agreement, am aware that it is a release of liability and a contract between myself and the Released Parties. I sign it of

my own free will and agree to be bound by it, from the date of my signature, forever into the future.

______________________________________ ________________ (______) _______________________

Signature of Participant Date Telephone

______________________________________ __________________________________ _________________ ____ ________

Print Name Address City State Zip

This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as

provided above of all Releases and, for myself, my child, all heirs, assigns, and next of kin. I release and agree to indemnify and hold

harmless the involvement or participation in these programs as provided above EVEN IF ARISING FROM THE NEGLIGENCE OF

THE RELEASED PARTIES TO THE FULLEST EXTENT PERMITTED BY LAW.

__________________________________________________ ________________________________________ _____________

Signature of Parent or Guardian Print Name of Parent or Guardian Date

Snorkeling Release 1/2003