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This is the Waterboyz Camp Waiver

TODAY'S DATE: July 5, 2025

WAIVER: In consideration of my application to enroll in Waterboyz surf, skate, or skim camp, I hereby release Waterboyz-WBZ, inc. and any other person/ sponsor officially associated with the surf, skate, or skim camp from all liability and/or lawsuit for any and all injuries and/or damages whatsoever arising from my participation or my presence at the surf, skate, or skim camp.

PHOTO CONSENT: I hereby agree that Waterboyz my use film or photographic records of this surf, skate, or skim camp for its promotional and/or commercial purposes without compensation to me, and I consent to the use of my name and likeness for such use in any media now known or not known.

First Participant's Name
First Name*
Last Name*
Phone*
Select Gender
First Participant's Date of Birth*
Date of Birth
First Participant's Information
T-Shirt size:*

Medical Information:

Allergies:
Medical Problems:
Medication:
Notes:
First Participant's Signature*
Second Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Second Participant's Information
T-Shirt size:*

Medical Information:

Allergies:
Medical Problems:
Medication:
Notes:
Third Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Third Participant's Information
T-Shirt size:*

Medical Information:

Allergies:
Medical Problems:
Medication:
Notes:
Fourth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Fourth Participant's Information
T-Shirt size:*

Medical Information:

Allergies:
Medical Problems:
Medication:
Notes:
Fifth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Fifth Participant's Information
T-Shirt size:*

Medical Information:

Allergies:
Medical Problems:
Medication:
Notes:
Sixth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Sixth Participant's Information
T-Shirt size:*

Medical Information:

Allergies:
Medical Problems:
Medication:
Notes:
Seventh Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Seventh Participant's Information
T-Shirt size:*

Medical Information:

Allergies:
Medical Problems:
Medication:
Notes:
Eighth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Eighth Participant's Information
T-Shirt size:*

Medical Information:

Allergies:
Medical Problems:
Medication:
Notes:
Ninth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Ninth Participant's Information
T-Shirt size:*

Medical Information:

Allergies:
Medical Problems:
Medication:
Notes:
Tenth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Tenth Participant's Information
T-Shirt size:*

Medical Information:

Allergies:
Medical Problems:
Medication:
Notes:
Parent or Guardian's Email Address
Email*
Confirm Email*
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Emergency Contact
First Name*
Last Name*
Emergency Contact's Phone Number*
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.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Last Name*
Relationship*
Phone*
Select Gender
Parent or Guardian's Date of Birth*
Date of Birth
Parent or Guardian's Information
T-Shirt size:*

Medical Information:

Allergies:
Medical Problems:
Medication:
Notes:
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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