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Manly Sailing
East Esplanade
Manly Yacht Club
Manly
2095
 

In signing this form you agree to our published terms and conditions:

I hereby waive any claims I might have against Manly Sailing or its officers as a result of any action or omissions on their part in connection with any course or activity in which I participate at any time. I understand that participation in any sailing course or activity may involve strenuous activity, and I declare I am physically fit to participate in every aspect of these activities. I am aware of, and accept the risk of participating in a Manly Sailing program. 

Manly Sailing reserves the right to refuse service to those who are believed to be affected by alcohol or drugs and no refund will be provided.

 

 

 

First Participant's Name
First Name*
Last Name*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
First Participant's Emergency Contact
Emergency Contact Name *
Emergency Contact Phone Number *

I understand that I may be photographed while participating in these activities and I hereby give my permission for the use of my photographic likeness by the Manly Sailing in all forms of media, Manly Sailing is obligated to share these images with participants.

Should you not wish for us to use these images please do not tick this box, leaving this box unchecked does not affect the rest of the waiver
Agree
First Participant's Signature*
Second Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Second Participant's Emergency Contact
Emergency Contact Name *
Emergency Contact Phone Number *

I understand that I may be photographed while participating in these activities and I hereby give my permission for the use of my photographic likeness by the Manly Sailing in all forms of media, Manly Sailing is obligated to share these images with participants.

Should you not wish for us to use these images please do not tick this box, leaving this box unchecked does not affect the rest of the waiver
Agree
Third Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Emergency Contact
Emergency Contact Name *
Emergency Contact Phone Number *

I understand that I may be photographed while participating in these activities and I hereby give my permission for the use of my photographic likeness by the Manly Sailing in all forms of media, Manly Sailing is obligated to share these images with participants.

Should you not wish for us to use these images please do not tick this box, leaving this box unchecked does not affect the rest of the waiver
Agree
Fourth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Emergency Contact
Emergency Contact Name *
Emergency Contact Phone Number *

I understand that I may be photographed while participating in these activities and I hereby give my permission for the use of my photographic likeness by the Manly Sailing in all forms of media, Manly Sailing is obligated to share these images with participants.

Should you not wish for us to use these images please do not tick this box, leaving this box unchecked does not affect the rest of the waiver
Agree
Fifth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Emergency Contact
Emergency Contact Name *
Emergency Contact Phone Number *

I understand that I may be photographed while participating in these activities and I hereby give my permission for the use of my photographic likeness by the Manly Sailing in all forms of media, Manly Sailing is obligated to share these images with participants.

Should you not wish for us to use these images please do not tick this box, leaving this box unchecked does not affect the rest of the waiver
Agree
Sixth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Emergency Contact
Emergency Contact Name *
Emergency Contact Phone Number *

I understand that I may be photographed while participating in these activities and I hereby give my permission for the use of my photographic likeness by the Manly Sailing in all forms of media, Manly Sailing is obligated to share these images with participants.

Should you not wish for us to use these images please do not tick this box, leaving this box unchecked does not affect the rest of the waiver
Agree
Seventh Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Emergency Contact
Emergency Contact Name *
Emergency Contact Phone Number *

I understand that I may be photographed while participating in these activities and I hereby give my permission for the use of my photographic likeness by the Manly Sailing in all forms of media, Manly Sailing is obligated to share these images with participants.

Should you not wish for us to use these images please do not tick this box, leaving this box unchecked does not affect the rest of the waiver
Agree
Eighth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Emergency Contact
Emergency Contact Name *
Emergency Contact Phone Number *

I understand that I may be photographed while participating in these activities and I hereby give my permission for the use of my photographic likeness by the Manly Sailing in all forms of media, Manly Sailing is obligated to share these images with participants.

Should you not wish for us to use these images please do not tick this box, leaving this box unchecked does not affect the rest of the waiver
Agree
Ninth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Emergency Contact
Emergency Contact Name *
Emergency Contact Phone Number *

I understand that I may be photographed while participating in these activities and I hereby give my permission for the use of my photographic likeness by the Manly Sailing in all forms of media, Manly Sailing is obligated to share these images with participants.

Should you not wish for us to use these images please do not tick this box, leaving this box unchecked does not affect the rest of the waiver
Agree
Tenth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Emergency Contact
Emergency Contact Name *
Emergency Contact Phone Number *

I understand that I may be photographed while participating in these activities and I hereby give my permission for the use of my photographic likeness by the Manly Sailing in all forms of media, Manly Sailing is obligated to share these images with participants.

Should you not wish for us to use these images please do not tick this box, leaving this box unchecked does not affect the rest of the waiver
Agree
Parent or Guardian's Email Address
Email*
Check to receive information, news, and discounts by e-mail.
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
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*
Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
Parent or Guardian's Emergency Contact
Emergency Contact Name *
Emergency Contact Phone Number *

I understand that I may be photographed while participating in these activities and I hereby give my permission for the use of my photographic likeness by the Manly Sailing in all forms of media, Manly Sailing is obligated to share these images with participants.

Should you not wish for us to use these images please do not tick this box, leaving this box unchecked does not affect the rest of the waiver
Agree
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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