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Eastern Marine Services Inc. T/A Eastern Watersports Waiver and Release Agreement

NOTE TO THE PARTICIPANT

Participation in any water related sport exposes the participant to certain risks and dangers. Accidents and injuries (both superficial and fatal) resulting from the forces of Mother Nature, boaters (both power and sail), malfunctioning equipment, unseen obstacles, fatigue, and your own misjudgment are a very real possibility.
Eastern Watersports considers safety to be its utmost concern and as such, its staff includes individuals trained in lifesaving, C.P.R., and First Aid. The nature of these sports, however, makes it impossible to foresee and protect the participant from all conceivable dangers associated with water and water sports. Once the participant leaves land and enters the water, be it a pool, lake, river, pond, stream, bay, ocean or other body of water, he/she must be prepared to assume all risks associated therewith.

AFFIRMATION AND LIABILITY RELEASE

THE UNDERSIGNED CERTIFY THAT THEY HAVE READ THE FOREGOING PRIOR TO THE SIGNING THEREOF AND AGREE AS FOLLOWS:

  1. I hereby affirm that I have been well advised and thoroughly informed of the inherent dangers of Paddle Boarding, Kayaking, Swimming, Snorkeling, Sailing, Windsurfing, and SCUBA Diving.
  2. I hereby agree to indemnify and hold harmless Eastern Marine Services Inc. T/A Eastern Watersports, PADI, State of Maryland, Department of Natural Resources, and any other related organization and all staff of the same, from any and all liability for any harm, injury, illness, death, or damages (physical, mental, or monetary), regardless of fault or negligence, which may befall me while participating in this program or while using any facilities related to my participation in this event. This release shall be binding upon my family, heirs, and administrators.
  3. The undersigned hereby certifies that the participant (be it one’s self or dependent) is a proficient swimmer and agrees for the participant to be tested by Eastern Marine Services Inc. T/A Eastern Watersports staff to determine the participants level of swimming proficiency if requested. Participant agrees to wear life jacket AT ALL TIMES. NO EXCEPTIONS.
  4. I hereby agree to heed at all times the advice and instructions of Eastern Marine Services Inc. T/A Eastern Watersports staff and to practice common sense water safety procedures.
  5. The undersigned also agrees to hold harmless and waive any and all claims against any and all facilities in which these activities may take place including but not limited to Merritt Athletic Clubs, Freestate Swim Club, The Chesapeake Experience, or its agents and employees.
  6. To the extent provided by Maryland Law, I also freely and voluntarily waive all claims for damages or loss to my person or property, or the person or property of third parties, that may be caused by an act, or failure to act, of Eastern Marine Services Inc. T/A Eastern Watersports, representatives of the same, the State of Maryland or its agents and employees, and release the Eastern Marine Services Inc. T/A Eastern Watersports and the State of Maryland from any and all claims.
  7. I hereby agree to allow Eastern Marine Services Inc. T/A Eastern Watersports to use any and all photos of me during my participation in this and all future events in any and/or all of their marketing materials both on and offline without any additional consent required.

In consideration for my participation in this event and my participation in all future events with Eastern Marine Services Inc T/A Eastern Watersports, I hereby sign and certify that I understand and agree to all of the above and that it is correct to the best of my knowledge

Today's Date: March 5, 2021

First Participant's Name

First 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*

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.
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*

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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