Revised on April 5, 1997
SMSA Small Boat Program Release Form
SMSA both welcomes and encourages junior sailors to partake in our small boat sailing program.
However, we must have on file a completed and signed Release Form for each individual under the age of 18 that participates in any
SMSA sponsored small boat event. This Release form may be obtained from SMSA or you may print, complete and return the form as presented here.
SOUTHERN MARYLAND SAILING ASSOCIATION
SMALL BOAT PROGRAM
Parents Consent
and
Waiver of Liability - Assumption of Risk - Indemnity Agreement
The undersigned parents or legal guardians (hereafter referred to in the singular) of
_________________________ (herein referred to as the "child"), request that the child be allowed to
participate in Southern Maryland Sailing Associations 1997 Summer Small Boat Regattas (herein referred to as "the
activities").
This agreement shall remain in effect until Southern Maryland Sailing Association receives written
notice of the cancellation of the consent or until the end of the activities described above.
In return for the child being permitted to take part in the activities and to use the facilities and
property of Southern Maryland Sailing Association each of us makes the following promises and warrants
the truth of the following facts:
- I am familiar with the programs included in the activities, and I understand officers of Southern
Maryland Sailing Association are available to discuss the activities if I should wish additional
information. I also understand I am solely responsible for the arrival and departure of my child at
the beginning and end of each day's program. I agree Southern Maryland Sailing Association will
have no responsibility for the supervision of my child at times other than during the scheduled activities.
I will inform my child that she/he is expected to cooperate with, and follow the directions of, the persons
in charge of the activities and to act in a manner consistent with the spirit of good sportsmanship and
respect for the rights of others.
- My child is in good health, and I know of no reason why he/she would be incapable of participating
in the activities. My child knows how to swim or can pass the required swim test. I will immediately
notify the designated Southern Maryland Sailing Association Race Governor or Small Boat Program Coordinator,
if a change in my child's health or other condition would affect my child's ability to participate in the activities.
- WAIVER OF LIABILITY: I waive and release any right I, my heirs, distributees, guardians, legal
representatives and assigns may have or acquire to make a claim against, sue, attach the property
of or prosecute Southern Maryland Sailing Association or any of its members, governors, officers,
agents, instructors, and affiliated organizations (herein referred to as "the releasees") for monetary
damages caused by the injury to my child or damage to the property of my child or myself arising
from my child's participation in the activities and use of the facilities and property of Southern
Maryland Sailing Association, whether or not the injury or damage results from the negligence or
other action, except intentional acts, of any of the releasees. (Please initial to indicate you have
read this paragraph. _____;_____)
- ASSUMPTION OF RISK: I am aware that the activities may involve maneuvering a boat, sailboard
or other watercraft on deep waters in potentially hazardous conditions which may include, among
other things, strong winds and high waves, sudden and unexpected immersion in deep waters and
collision with other watercraft or stationary objects such as docks, pilings and buoys. With
knowledge of the dangers involved, I voluntarily ask that my child be allowed to take part in the
activities. I ACCEPT ANY AND ALL RISKS TO MYSELF AND MY CHILD OF INJURY, DEATH,
AND PROPERTY DAMAGE ARISING FROM PARTICIPATION IN THE ACTIVITIES AND THE
USE OF THE FACILITIES AND PROPERTY OF SOUTHERN MARYLAND SAILING
ASSOCIATION, WHETHER OR NOT CAUSED BY THE NEGLIGENCE OR OTHER ACTION,
EXCEPT INTENTIONAL ACTS, OF ANY OF THE RELEASEES. (Please initial to indicate you
have read this paragraph. _____;_____)
- INDEMNITY AGREEMENT: I agree to indemnify and hold the releasees harmless from any loss,
liability, damage or cost, including reasonable attorneys fees, that may incur due to my child's
participation in the activities and use of the property and facilities of Southern Maryland Sailing
Association, whether or not such loss, liability, damage or cost results from negligence or other
action, except intentional acts, of any of the releasees. (Please initial to indicate you have read this
paragraph. _____;_____)
I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS
CONTENTS. I AM AWARE THE AGREEMENT INCLUDES A WAIVER OF LIABILITY,
AN ASSUMPTION OF RISK AND AN AGREEMENT BY ME TO INDEMNIFY THE
RELEASEES, AND I SIGN IT OF MY OWN FREE WILL.
Date: _______________
Parent's Parent's
Signature _______________________ Signature _______________________
_______________________________ _______________________________
(PRINT NAME) (PRINT NAME)
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This web page was created by Don Behrens on Sunday, March 30, 1997.
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