Agreement and Release from Liability
Parent/Guardian Full Name
Phone
AGREEMENT AND RELEASE FROM LIABILITY
Voluntary Participation: I confirm I am the legal guardian of a minor(s), acknowledge that I have voluntarily applied to the Mermaid Heather’s Surf Camp for my child’s participation in surfing and swimming instruction and related activities to be conducted on the shore and in the water at various beach locations in the County of Bay, State of Florida.
ASSUMPTION OF RISK
I AM AWARE THAT SURFING, SURFING INSTRUCTION, AND THE RELATED ACTIVITIES OFFERED BY THE CAMP ARE HAZARDOUS ACTIVITIES. I AM VOLUNTARILY AUTHORIZING MY CHILD’S PARTICIPATION IN THESE ACTIVITIES WITH KNOWLEDGE OF THE DANGER INVOLVED, AND HEREBY AGREE TO ACCEPT ANY AND ALL RISKS OF INJURY OR DEATH ARISING FROM THESE ACTIVITIES. I VERIFY THIS STATEMENT BY PLACING MY INITIALS HERE: