Rochester Community Sailing - Liability Waiver and Photo Release Form
Rochester Community Sailing Inc.
2050 Bay Shore Boulevard, Rochester NY 14622
Contact us at (585) 210-2380 or
Email address *
In consideration of being allowed to participate in the Rochester Community Sailing (RCS) activities, events, and services, I, the undersigned, acknowledge, appreciate, and agree via the checkboxes below that:
There is a risk of injury from the activities involved with this program and while particular skills, equipment, and personal discipline may reduce this risk, the risk of serious injury, including death does exist. *
I agree to comply with the stated and customary terms and conditions for participation or ask to remove myself from participation if I feel uncomfortable or observe any unusual significant hazard and bring this to the attention of my Sailing Instructor or Program Director. *
I, for myself and on behalf of my heirs, assigns, personal representatives, and next of kin, hereby release, indemnify, and hold harmless Rochester Community Sailing, their employees, other participants and members, sponsors, advertisers, and if applicable, owners and lessors of the premises used for activity (“Releasees”), with respect to any and all injury, disability, death, or loss or damage to person or property associated with presence or participation to the fullest extent permitted by law. *
I agree to let any photos/video taken of me during Rochester Community Sailing classes to be posted on Rochester Community Sailing's website or used in promotional or advertising materials. If I do NOT agree to this clause, I will check the "I do not agree" checkbox below. *
I agree to abide by the designated sailing and class rules set forth by the Program Director and sailing instructors. I have read this release of liability, assumption of risk agreement, and photo release agreement, fully understand its terms, and understand that I have given up substantial rights by signing it, and sign freely and voluntarily without any inducement. *
Name of Participant *
Your answer
Name of Parent / Guardian if Participant is under 18 years of age
Your answer
A copy of your responses will be emailed to the address you provided.
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