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The following Shipwreck Explorer's LLC passenger liability waiver is required to be completed by each passenger before getting underway on a boat.

This is a RELEASE of your rights to sue Shipwreck Explorers LLC , Jitka Hanakova, respective officers, directors, employees, owners, members, crew members, managers, affiliates, agents, representatives, attorneys, heirs, personal representatives, successors and assigns or boats whether owned, operated, or chartered (hereinafter "Released Parties") for personal injuries or wrongful death that may occur during the forthcoming boating activities as a result of the negligence of the released parties.

 

1. I wish to participate as a passenger on the charter boat ride being operated by Shipwreck Explorers, LLC (the "Boat Ride"), and I acknowledge that my participation in the Boat Ride is completely voluntary.

2. I UNDERSTAND THAT THERE ARE INHERENT RISKS INVOLVED WITH BOATING, including, but not limited to equipment failure, perils of the sea, harm caused by other vessels, acts of fellow participants, entering and exiting the water, boarding or disembarking boats, and activities on the docks.

3. I fully assume responsibility for my own safety (including, without limitation, following all directions of the boat's captain and Released Parties) while participating in the Boat Ride. 

4. I affirm that I am in a good mental and physical fitness for participating in the Boat Ride, and that I am not under the influence of any drugs that are contradictory to the Boat Ride participation.  If I am taking medication(s), I affirm that I have seen a physician and have an approval to participate in the Boat Ride under the influence of the medication(s) or drug(s).

5. I fully understand that the involved boat has limited medical facilities and that in the event of illness or injury appropriate medical care must be summoned by radio and treatment will be delayed until I can be transported to a proper medical facility. I agree in advance to these conditions.

6. No person associated with Shipwreck Explorers, LLC / Released Parties has made any express or implied representation to me that they or the boat's crew can or will perform safe rescues or render first aid.  In the event I show signs of distress or call for aid I would like assistance and will not hold any person or entity responsible for their actions in attempting the performance or rescue or first aid.

7. Having read this wavier, I agree to RELEASEfrom LIABILITYand HOLD HARMLESS Shipwreck Explorers, LLC, along with its respective officers, directors, employees, owners, members, crew members, managers, affiliates, agents, representatives, attorneys, heirs, personal representatives, successors and assigns, all individuals associated with the Boat Ride, and all individuals and entities having an interest in the boat being used for the Boat Ride, from any and all liability, claims, demands, equitable relief, damages, costs, expenses, and causes of action of any kind or character, of any type or nature whatsoever (including negligence), arising out of the Boat Ride.

8. I authorize Shipwreck Explorers, LLC to use any own photographs, personal narrative, interviews, or audio and video recording of my participation in the Boat Ride for any and all purposes.

9. I certify that I have read this document and agree with its contents.

 

Privacy Policy regarding collected information can be found at our website: https://www.shipwreckexplorers.com/privacy-policy/

 

September 23, 2019

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

Email*

Confirm Email*
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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*

Middle Name

Last Name*

Relationship*

Phone*
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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