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GW 4 SAILING 

SAILING CONSENT & LIABILITY 

I, We give my (son/daughter, participant) _______________________________                                                                                                       FULL NAME OF CHILD/PERSON PARTICIPATING

permission to participate in the sailing program with GW 4 Sailing.  I, We acknowledge that this is a sport that will be taught both on the beach and on the bay (water), and do hereby state that our (son/daughter, participant)________________________________ is able to swim and is water safe.   
                            FULL NAME OF CHILD/PERSON PARTICIPATING

In consideration of accepting our registration, I, We hereby agree to indemnify and hold harmless GW 4 Sailing, Newport Dunes and any of its entities, officers, agents or employees from any liability, claim or action for damages or injury resulting from or in any way arising out of the participation in the program by the person registered. 

________________________________________________________________

   PARTICIPANTS SIGNATURE OR PARENTíS SIGNATURE IF PARTICIPANT IS A MINOR                        DATE

 

PHOTO RELEASE

I understand that my employees or other parents of participants will take photographs from time to time.  By signing below, I authorize GW 4 Sailing to use or publish any photographs taken of participants to promote classes on our web site and/or flyers.

________________________________________________________________

   PARTICIPANTS SIGNATURE OR PARENTíS SIGNATURE IF PARTICIPANT IS A MINOR                         DATE 

 

EMERGENCY INFORMATION 

In case of an emergency, please call me at: ___________________________________

I give permission to release my child/me to the following person(s): 

NAME                                       RELATIONSHIP                                    PHONE NUMBER
 

 

 

NAME OF PHYSICIAN TO CALL AND TELEPHONE NUMBER:

 

 
I give my permission to have my child/me receive the appropriate medical attention necessary by a hospital, emergency unit or physician and transported by medical personnel when necessary.

________________________________________________________________
   PARTICIPANTS SIGNATURE OR PARENTíS SIGNATURE IF PARTICIPANT IS A MINOR                        DATE

 

 

 

 

 

714-369-5481  

George@gw4sailing.com