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Assumption of Risk/Liability Waiver

Release of Liability

By registering with 947 Swim, the legal parent/guardian of the registered participant(s) on their own behalf and on behalf of the participant(s) hereby agrees that 947 Swim, and the facilities operators rented by 947 Swim, are released from any and all liability, claims, demands, and causes of action whatsoever arising out of, or related to, any loss, damage, or injury, including death, that may be sustained by the participant(s) and/or the undersigned, while in or upon the premises or any premises under the control and supervision of 947 Swim instructors, staff, volunteers and any facilities operated by 947 Swim.

Assumption of Risk

I understand, agree, and acknowledge that there are risks inherent in sports activities conducted by 947 Swim, including but not limited to paralyzing injuries, brain injuries, and death. These activities may be hazardous, including activities such as swimming, diving, strenuous exercise and physical activities. With the full understanding of the facts, I agree to assume these risks and I state that to the best of my knowledge, my son/daughter listed as participant has no medical, physical, or emotional health conditions that would hinder or prevent his or her participation in swim instruction by 947 Swim.

Name of Participant(s)

Name of Parent/Guardian if under the age of 18

Email Address

Aquatic Program(s)

Which programs are you attending?

Program Date(s) and Time(s)

Phone number


A confirmation email is on it's way!

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