Wake It WaterSports Participation Agreement Date: _____/_____/_____
Name: _____________________________________________________ Age: _____
Address: ________________________________________________________________________
City: ____________________________ State: ______ Zip: ______
Telephone: (___) ____-________ E-Mail:________________________________________
Please read and be certain you understand the implications of signing. This form outlies express assumption of Risk Associated with Water Sports such as: Water Skiing / Knee & Wake Boarding & Foiling / Wake Surfing / Tubing and Related Activities for both participant and passenger.
Participation in any water sport exposes the participant to certain risks and dangers. Accidents and injuries (superficial to fatal) resulting from the forces of Mother Nature, other boaters (both power and sail), malfunctioning equipment, unseen obstacles, fatigue, and your own misjudgment are a very real possibility.
Wake It Watersports considers safety to be its utmost concern and as such, its staff includes individuals trained in life- saving, C.P.R., and Red Cross First Aid. The nature of these sports, however, makes it impossible to foresee and protect the participant from all conceivable dangers associated with water and water sports. Once the participant leaves the safety of the shore and enters the water, he/she must be prepared to assume all risks associated therewith.
AFFIRMATION AND LIABILITY RELEASE THE UNDERSIGNED CERTIFY THAT THEY HAVE READ THE FOREGOING PRIOR TO THE SIGNING THEREOF AND AGREE AS FOLLOWS:
1. I hereby affirm that I understand the inherent dangers of water sports such as: Water Skiing, Wake Boarding, Wake Foiling, Tubing, Kene Boarding and being a passenger on a boat.
2. I hereby agree to indemnify and hold harmless Wake It Watersports, and staff from any and all liability for any harm, injury, death, or damages (physical, mental, or monetary), regardless of fault or negligence, which may befall me while participating in this program or while using Wake It Watersports services, equipment and/or facilities. This release shall be binding upon my family, heirs, and administrators.
3. I hereby affirm that the Student/Participant is a proficient swimmer and agrees for the Student/ Participant to be tested by the Wake It Watersports to determine the Student/ Participant level of swimming proficiency if requested. Student/ Participant agrees to wear a life vest in accordance with US Coast Guard regulations.
4. I hereby agree to heed at all times the advice and instructions of Wake It Watersports staff and to practice common sense water safety procedures.
5. I, do hereby affirm and acknowledge that I have been fully informed of the inherent hazards and risks associated transportation to and from the vessel and related water sport activities to which I am about to engage, including but not limited to:
6. I hereby declare that I am physically fit. I do not, and have not, suffered from any condition which may lead to a dangerous situation regarding other persons or myself during Wake It Watersports activities.
7. To the extent provided by State Law, I also freely and voluntarily waive all claims for damages or loss to my person or property, or the person or property of third parties, that may be caused by an act, or failure to act, of Lake Wylie Boating staff, its agents and employees, and release Wake It Watersports from any and all claims.
8. By entering into this Agreement, I am not relying on any oral or written representation or statements made by the releasees, other than what is set forth in this Agreement.
I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ABOVE INFORMATION IS CORRECT:
Name: ____________________________________________ Signature: ____________________________________________
Name: ____________________________________________ Signature: ____________________________________________
Name: ____________________________________________ Signature: ____________________________________________
Name: ____________________________________________ Signature: ____________________________________________
Parent/Guardian (If any of the above are under 18):
Name: ____________________________________________ Signature: ____________________________________________
NAME AND PHONE NUMBER OF EMERGENCY CONTACT:
Name:___________________________________________ Phone: (_____)______-_________