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Dolphin Swim Australia's Risk Warning Waiver

Risk Warning

Civil Liability Act 2002 (NSW)

 

The Swim

Dolphin Swim Australia Pty Ltd ACN 138 208 081 atf Dolphin Swim Australia Unit Trust ABN 95 706 319 134 (“DSA”)

 

To be signed by each participant. If a participant is under 18 years of age this form must be signed on their behalf by a parent or guardian.

Your participation in the recreational activities supplied by DSA may involve risk. The risks may include injuries or death due to:

1.(a)    tripping, slipping, falling or other physical exertion;

1.(b)   use of marine craft and equipment and possible failure of that equipment;

1.(c)    exposure to the sun and adverse weather conditions;

1.(d)   exposure to the natural marine environment including ocean predators, bites & stings, motion sickness and drowning

Prior to undertaking any such recreational activity, you should ensure that you are aware of all of the risks involved, including those risks associated with any health condition you may have.

By participating in the Swim today I agree to do so at my own risk. I know that my agreement operates to exclude any liability in negligence for harm that I may suffer.

I acknowledge I have been warned that this recreational activity may cause physical harm to me or to someone under my control or accompanying me, and I confirm that I and anyone under my control have no condition, medical or physical, that could prevent me or anyone under my control from, or be aggravated by, participating in this activity.

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
Check to receive information, news, and discounts by e-mail.
A signed copy of this waiver will be sent to the email address you provide.
If you are under 18 years of age on the day this declaration is signed, the declaration must be signed by your parent or guardian. I warrant and certify that I am the parent or guardian of the child named below ("My Child") who will be under 18 years of age on the date of The Swim and he/she has my consent and is capable of participating in the The Swim. I confirm that I have read and understood the above declaration, warrant, waiver and release and that I agree, on behalf of My Child, to be bound by each of those conditions and having done so, I submit this voluntarily.
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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