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One Waterside Drive

Norfolk, VA, 23510

757.823.4242

Permission, Release and Hold Harmless for Participation of a Minor Child in the Nauticus Program

 

I expressly acknowledge and agree that the sport of sailing and the conduct of the Program entail and are subject to certain inherent risks, and, on behalf of my child, I accept all risks on land and at sea regarding my child's participation in the Program. In return for my minor child participating in the activities of the Program and using the facilities and property of the Program, I agree as follows:

 

1. I consent to the participation of my child in the Program and agree that this permission extends to all the activities of the Program.

 

2. I am aware that the activities of the Program involve maneuvering a boat in deep waters in potentially hazardous conditions which may include strong winds and waves, sudden and unexpected immersion in deep water and collision with other watercraft or stationary objects such as docks, pilings and buoys. With knowledge of the dangers involved, I voluntarily request that my child be allowed to take part in the activities of the Program.

 

3. I advise that my child is a proficient and skilled swimmer who has taken swimming lessons and demonstrated the ability to swim, and to conduct himself/herself safely in and around water activities.

 

4. I agree that my child will wear a personal flotation device (PFD) at all times when participating in the Programs activities on the docks and in the boats.

 

5. On my behalf and on behalf of my child and his/her heirs and assigns, I release and waive any and all claims against and release any liability or responsibility of the Sail Nauticus Program, the Nauticus Foundation and the City of Norfolk and their officers, board members, employees, agents and representatives, jointly and severally, or any other person acting in any capacity for the conduct of the Program in relation to any loss, injury, death or damage on land or at sea to my child or to my childs property.

 

6. On my behalf and on behalf of my child and his/her heirs and assigns, I release, discharge, indemnify and hold harmless the Sail Nauticus Program, the Nauticus Foundation and the City of Norfolk and their officers, board members, employees, agents and representatives, jointly and severally, from and against any and all claims, suits, actions, charges, demands, judgments, costs, damages and liabilities, whether in contract or tort, present and future, known or unknown, including, but, not limited to, personal injury or death of any person or persons and/or any loss or damage to property, attorney fees, and any other expense caused by or resulting from participation by my child in the Program.

 

7. I grant permission for the Program to use any photographs, film, digital imaging, videos, verbal and written statements of my child and his and/or her likeness for promotional, web usage or other uses by the Program.

 

8. I acknowledge that cases of novel coronavirus (“COVID-19”) have been confirmed throughout the United States, including Norfolk VA. Nauticus has taken certain steps to implement recommended guidance and protocols issued by Public Health Agencies for reducing the risk of transmission of COVID-19, including, without limitation, access and use restrictions and protocols. I understand that Nauticus may revise its procedures at any time based on updated recommended guidance and protocols issued by the Public Health Agencies and further agree to comply with Nauticus’ revised procedures. I fully understand the known and potential risk of utilizing the facilities, services and programs of Nauticus during the COVID-19 crisis, and acknowledge that use thereof, despite Nauticus’ reasonable efforts to mitigate such dangers, may result in exposure to COVID-19, which could result in quarantine requirements, serious illness, disability, and/or death. I understand, acknowledge, and hereby voluntarily assume these risks.

First Participant's Name

First Name*

Last Name*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
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Parent/Guardian Address

Address Line 1: *

Address Line 2:

City: *

State: *

Zip Code: *
Sailing Program
Please check:
Design. Build. Sail. Summer Camp
Sail Away Boat Excursion
First Sail
Member's Guest
Academy
Schooner Virginia
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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