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Surf and SUP Instruction Waiver Form

ACKNOWLEDGMENT OF RISKS

ACCEPTANCE OF RESPONSIBILITY

AND RELEASE OF LIABILITY

 

WARNING:  There are significant elements of risk in any adventure, sport or activity associated with water craft and ocean activities; including, but not limited to surfing lessons, stand up paddleboard lessons, surfboards, stand up paddle boards and use of any equipment therwith.  

EXPRESS ASSUMPTION OF RISK AND RESPONSIBILITY:  In recognition of the inherent risk of the activity which I and any minor children for which I am responsible, will engage in, I confirm that I am (we are) able to swim, have no health conditions, physically and mentally capable of participating in the activity and using the equipment.  I / We participate willingly and voluntarily and assume full responsibility for personal injury, accidents or illness including death.  I assume all responsibility for damage to or loss of personal property as the result of any accidents that may occur.  I accept full responsibility for all parties known or unknown using the equipment I have rented under my name.

 

RELEASE: In consideration of services or property provided. I, for myself and any minor children for which I am a parent, legal guardian or otherwise responsible, any heirs, personal representative or assigns, do hereby release.

 

Hook-Up-Surfing, DLNR Boating Division, City and County of Honolulu, Quality Surfboards, Blue Planet Surf Gear LLC, Jenn Lee Fitness, Its / Their contractors, principals, Directors, officers, agents, employees and volunteers from all liability and waive any claim for damage arising from any cause whatsoever including gross negligence.

 

I HAVE READ THE FOREGOING WARNING, ACKNOWLEDGMENT, ASSUMPTION AND RELEASE AND UNDERSTAND THAT BY SIGING THIS DOCUMENT I MAY BE WAIVING VALUABLE LEGAL RIGHTS.

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First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Emergency Contact

Emergency Contact's 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.
Parent or Guardian's Name

First Name*

Last Name*

Relationship*

Phone*
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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