I am the parent/guardian and have full authority
regarding the child listed below.
I understand my child, listed below, will be
participating in open water or pool swimming, which is inheriantly dangerous.
By signing this waiver, I certify and I understand,
that I cannot sue any person, instructor or coaches or those
who act on behalf of the Oannes Swims organization or those who
may have authority over the company, and no one else can sue
on my behalf.
I agree to be available during
each of the sessions in which my child will be participating.
I agree to take responsibility for my child and
abide by the points outlined in the all six (6) sections of this
Under Age of 18 Waiver.
I understand that in the documentation
below I will often be referred to as the 'client'.
Child's Full Name
Child's Date of Birth (dd/mm/year)
Parent/Guardian Full name
Sign name
Date
End of Oannes Swims - Under
Age of 18 Waiver - Section 1
2. Oannes Swims -
Waiver
To enter an Oannes Swims event you must
read and agree to the terms set out in the six (6)sections of this waiver.
I, the undersigned,
in consideration of and as a condition of acceptance of my entry
in the event for myself, my heirs, executors and administrators hereby
waive all and any claim, right or cause of action which I or they
might otherwise have for or arising out of my loss of life, injury,
damage or loss of any description whatsoever which I may suffer or
sustain in the course of or consequent upon my entry or participation
in the said event and I admit that I participate in the said event
solely at my own risk.
This waiver, release and discharge shall
be and operate separately in favour of all persons, corporations
and bodies involved or otherwise engaged in promoting or staging
the event and the servants, agents, representatives and officers
of them and includes but is not limited to Oannes Athletics, Oannes
Swims, Kelvin Landolt, NP Consultants, the facility where the event
is held, life guards, coaching staff, medical and paramedical personnel,
police officers and shall operate whether or not the loss, injury
or damage is attributable to the act or neglect of any one or more
of them.
I hereby acknowledge that I have sole responsibility
for my personal possessions and swimming equipment during the event.
I hereby attest and verify that I am physically
fit and have sufficiently trained for this event. If requested,
I agree to provide with my registration form a signed doctor's
certificate attesting to my physical fitness to participate in
event.
I hereby consent to receive medical treatment
which may be deemed advisable in the event of injury, accident
and/or illness during the event.
I hereby agree that if I wish to withdraw
from participating in the event after I have registered and paid
the entire cost, I must give forty-eight (48) hours notice to Oannes
Swims to be eligible for a refund of 20% of the entire cost. There
will be no refund or credits without notice to Oannes Swims.
I
hereby agree that if I
wish to withdraw from participation in the event after the event
has begun there will be no refund. I understand that I cannot receive
credit for registered sessions that I cannot/have not attended.
I hereby agree if Oannes Swims, Kelvin Landolt,
the Coaching Staff, the event facility staff or life guards ask
me to exit the water, for any reason, I will do so with out discussion
and exit the pool as soon as is possible.
I hereby agree that if Oannes Swims, Kelvin
Landolt, the Coaching Staff, the event facility staff or life guards
ask me to leave the event, I will do so as quickly as possible
and without argument or question. I understand there will be no
refund if I am asked to leave the event.
Yes
No
I have read and understood the points in Section
2 of this Under Age of 18 Waiver.
By signing this waiver, I certify
that I understand, that I cannot sue any person, instructor
or coaches or those who act on behalf of the Oannes Swims
organization or those who may have authority over the company,
and no one else can sue on my behalf.
I agree to abide by the points outlined
in the waiver above.
Print full
name
Sign name
Date
End of Oannes Swims - Under
Age of 18 Waiver - Section 2
3. Oannes Swims - Risk & Release
of Liability
These are
some of the concerns, hazards and dangers associated with
lake swimming:
Swimmers have been injured by objects in the water,
both floating (logs, needles, garbage, etc), fixed (buoys, posts,
columns, etc) and sharp object on the bottom (glass, cans, knifes,
etc).
Swimmers have been attacked by water life (eels,
water fowl, etc).
There is a danger of being injured or killed by a motor craft
or other kinds of water crafts.
There may be health hazards associated with pollution
in the Lake (water is tested, but results take 2 days to process).
Lake currents can be more powerful than the strongest
swimmer, are unpredictable and have swept swimmers off course.
Lake waters are inherently COLD. Temperatures
typically range between 50 and 61 degrees Fahrenheit and can
change without notice.
Weather can change quickly and without notice.
Some weather conditions are hazardous to swimmers (rough white
capped waves, wind, lightening, etc).
Swift currents and cold water can precipitate
drowning, heart attacks and hypothermia.
As swimmers often leave bags and/or equipment
on the beach, while swimming, these objects are often stolen,
destroyed or pissed on by dogs.
I understand and assume all risks & liability associated
with swimming open water.
Express assumption of risk & release of liability
to Oannes Swims:
On behalf of my heirs, assignees, personal representative, and
next of kin, I hereby release and hold harmless Oannes Swims
Organization, its officers, members, officials, agents and employees
and other participants, with respect to all injury, disability,
death, or loss, injury or damage to me or my property, whether
arising from the negligence of the Oannes Swims, its members
or officers, or otherwise.
Yes
No
I have read and understood the points listed
in Section
3 of this Under Age of 18 Waiver.
By signing this waiver, I certify that I understand,
that I cannot sue any person, instructor or coaches or those
who act on behalf of the Oannes Swims organization or those
who may have authority over the company, and no one else can
sue on my behalf.
Print full name
Sign name
Date
End of Oannes Swims - Under
Age of 18 Waiver - Section 3
4. Oannes Swims - Emergency Contact
The following is information
for an emergency contact person who is available during our sessions
besides the signing guardian. This is in the event that for any reason you cannot be located during an emergency.
Print Full Name
Phone Number
Relationship
End of Oannes Swims - Open Water Swimming
- Under Age Waiver - Section 4
5. Oannes Swims - Health Waiver
Please check the appropriate box for each
question and explain any questions that are answered with 'yes', as
required.
Yes
No
Has your doctor ever told you that you
have a heart conditon and that you should ONLY do physical activity recommended by a doctor?
Do you feel pain in your chest when you do physical activity?
In the past month, have you had chest pain when you were NOT doing physical activity?
Do you lose your balance because of dizziness or do you ever lose consciousnes?
Do you have a bone or joint problem (for example - back, knee or hip) that could be made worse by a change in your physical activity?
Is your doctor currently prescribing drugs (for example - water pills) for your blood pressure or heart condition?
Do you know of any other reason why you should NOT do physical activity - specifically swimming?
For any questions answered 'yes' above, the Client may be required
to provide Oannes Swims with an explanation and/or physician’s
letter advising that their child should/can engage in a swimming
activity program.
Print full
name
Sign name
Date
End of Oannes Swims - Under
Age of 18 Waiver - Section 5
6. Oannes Swims
- Event Model Release
Please read and indicate your position on the following:
Oannes Swims may be taking photograph/digital images of the events
for use in publications, advertising and articles, which your
child may appear.
I do not mind if my child's image is used.
Do not use my child's image.
Oannes Swims may be taking video of the events for use in publications,
advertising and articles, which your child may appear.
I do not mind if my child's
image is used.
Do not use my child's image.
Print full
name
Sign name
Date
End of Oannes Swims - Under
Age of 18 Waiver - Section
6