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BROWARD COLLEGE
TIGERTAIL LAKE CENTER
ASSUMPTION OF RISK AND GENERAL LIABILITY RELEASE

Participation in ANY Tigertail Lake Center Activity and/or Class:

I, the undersigned, request to be permitted to participate in the recreational activities and/or classes associated with, conducted by, or falling under the umbrella of, Broward College’s Tigertail Lake Center, including but not limited to the Tigertail Aqua Challenge, Tigertail Lake Challenge Course, Tigertail Lake Watersports, Tigertail Lake Rope Course, Tigertail Lake Scuba Diving, Lifeguard Classes, and including but not limited to any and all required classes and any and all required tests necessary to participate in the recreational activities and classes.  I affirmatively certify that I do not suffer from any disease, sickness, physical impairment or other condition, or use prescription or non-prescription medications which would affect, interfere, or impair my ability to participate in the recreational activities and/or classes associated with, conducted by, or falling under the umbrella of, Broward College’s Tigertail Lake Center.  I fully understand that my participation in the above mentioned may require rigorous physical activity.  I fully understand the dangers, hazards, and risks associated with my participation the recreational activities and/or classes associated with, conducted by, or falling under the umbrella of, Broward College’s Tigertail Lake Center.  I understand that these risks include, but are not limited to, serious bodily injury, disability, death, and impairment to my body, general health, and well-being including without limitation risks of drowning, heat exposure, sun exposure, falling, being hit by a boat, lightning, walking around on rocks, etc. and I EXPRESSLY ASSUME ALL OF THE RISKS.

General Release of Liability Participation in ANY Tigertail Lake Center Activity and/or Class:

In Consideration for my participation in the recreational activities and/or classes associated with, conducted by, or falling under the umbrella of, Broward College’s Tigertail Lake Center I agree to ASSUME ALL RISKS and to release, waive and forever discharge, on behalf of myself, my agents, representatives, heirs, successors and assigns, Broward College, the State of Florida, the district, The District Board of Trustees, and all of their agents, representatives, employees, contractors, successors and assigns, of all liabilities, claims, actions, damages, costs or expenses, and any causes of action whatsoever, whether known or unknown, arising out of, or in any way connected with, my participation in the recreational activity and/or classes, including the risks associated with transportation, participation, and engagement in these activities and injuries which may be suffered by me before, during, or after my participation in all activities, classes, tests, or procedures associated with or related to the activity.I understand that this waiver includes any claim based on negligence, action, or inaction of the parties.

PHOTO MEDIA RELEASE: I grant Broward College, Tigertail Lake Center the right to use, reproduce, assign and/or distribute photographs, films, videotapes, and sounds recordings of myself for use in materials they may create.

I HAVE READ THE FOREGOING WAIVER AND RELEASE OF LIABILITY AND VOLUNTARILY EXECUTED THIS DOCUMENT WITH FULL KNOWLEDGE OF ITS CONTENT

Date Signed: February 22, 2020

First Participants Name

First Name*

Last Name*
First Participants Date of Birth*
I certify that I am 18 years of age or older
First Participants Signature*
Second Participants Name

First Name*

Last Name*
Second Participants Date of Birth*
Second Participants Signature*
Third Participants Name

First Name*

Last Name*
Third Participants Date of Birth*
Third Participants Signature*
Fourth Participants Name

First Name*

Last Name*
Fourth Participants Date of Birth*
Fourth Participants Signature*
Fifth Participants Name

First Name*

Last Name*
Fifth Participants Date of Birth*
Fifth Participants Signature*
Sixth Participants Name

First Name*

Last Name*
Sixth Participants Date of Birth*
Sixth Participants Signature*
Seventh Participants Name

First Name*

Last Name*
Seventh Participants Date of Birth*
Seventh Participants Signature*
Eighth Participants Name

First Name*

Last Name*
Eighth Participants Date of Birth*
Eighth Participants Signature*
Ninth Participants Name

First Name*

Last Name*
Ninth Participants Date of Birth*
Ninth Participants Signature*
Tenth Participants Name

First Name*

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

Email*

Confirm Email*
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PARENTS/GUARDIANS MUST SUPERVISE THEIR CHILDREN AT ALL TIMES. I have read and understand the above statement and I knowingly and willingly assume all risks and I knowingly and willingly hold the District Board of Trustees of Broward College, Florida, Broward College, the State of Florida, and any of their agents, contractors and employees harmless of any responsibility should I suffer an injury, disability or death as a result of my participation in the above-mentioned activity.
Parent or Guardian's Name

First Name*

Last Name*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
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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