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What you are about to read and are requested to sign is a waiver and release of liability. Upon signing it, you will give up your right to sue Olympia Community Sailing ("OCS") or anyone associated with OCS, facilities or equipment, or while particapating in activities or programs administered by OCS.

Please take your time and read this agreement with care. Sign the document after you have read and understood everything.

I UNDERSTAND THAT SIGNING THIS DOCUMENT WILL PREVENT ME, MY HEIRS, EXECUTORS, DEPENDENTS, BENEFICIARIES AND ASSIGNS FROM SUING OCS, ITS OFFICERS, DIRECTORS, STAFF, VOLUNTEERS, OR ADVISORS FOR ANY INJURIES, INCLUDING DEATH OR DAMAGES THAT I MIGHT RECEIVE WHILE PARTICAPATING IN ACTIVITIES OR PROGRAMS ADMINSTERED BY OCS.

I Agree

I assume all riskes; I waive and release all claims; I will hold harmless and indemnify OCS

I understand that sailing, and all activities involved around and during sailing programs of any nature are inherently dangerous, and may lead to injury, harm or death. In consideration of my child participating in the Olympia Community Sailing programs as a guest, participant or student, I agree to accept all risk of injury to my child, to hold the Olympia Community Sailing, its officers, directors, employees, and members harmless, released, and indemnified from any claims, of any nature whatsoever arising out of the activities of the Adult, Youth or High School Sailing Program. Should my child be in need of medical treatment, my signature below confirms my permission for this to be done in the event that I cannot be reached promptly. By signing this document I confirm that I have read, understood and agree to all the terms and conditions stated in the waiver.

I Agree

Other Provisions 

  • Myself/My child is a capable swimmer and will wear a lifejacket while on the water.
  • I authorize the program organizers or their employees to sanction emergency treatment as stated above.
  • I/My child will follow all rules, expectations and guidelines as communicated by OCS.
  • I permit Olympia Community Sailing to use photos and quotes of any participants in their publications.

I Agree

Severability: if any provision of this agreement or it's application to any person of circumstances is held invalid or void, the remainder of the agreement and its application to other persons or circumstances is not affected and remains in full force and effect.

I am fully aware of the contents of the agreement and release, and have read and understand all of the terms. The terms of this agreement bind me, my family (including but not limited to spouses and domestic partners), heirs, executors, administrators, dependents, beneficiaries and assigns. I recognize that if I have any questions regarding my waiver of rights, I should consult an attorney. 

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Information
Pronoun*
they/them/their
he/him/his
she/her/hers
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
Pronoun*
they/them/their
he/him/his
she/her/hers
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
Pronoun*
they/them/their
he/him/his
she/her/hers
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
Pronoun*
they/them/their
he/him/his
she/her/hers
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
Pronoun*
they/them/their
he/him/his
she/her/hers
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
Pronoun*
they/them/their
he/him/his
she/her/hers
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
Pronoun*
they/them/their
he/him/his
she/her/hers
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
Pronoun*
they/them/their
he/him/his
she/her/hers
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
Pronoun*
they/them/their
he/him/his
she/her/hers
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
Pronoun*
they/them/their
he/him/his
she/her/hers
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Insurance

Insurance Carrier*

Insurance Policy Number*
Medical Emergency Release Information: please read, and fill out thoroughly:

Please list any known conditions which may preclude the participant from participating in sailing activities *

Please list any known conditions which may require consideration in the event of an emergency *

Please list all known allergies *
Do you have Asthma?*
No
Yes
If yes, do you carry an inhaler?*
No
Yes
Do you carry an epi-pen?*
No
Yes
Do you have Diabetes?*
No
Yes
Optional Demographic Questions

All demographic questions are always optional. Olympia Community Sailing strives to provide an inclusive, accessible sailing community in Thurston County. We seek to foster an organization that is representative of our surrounding communities at all levels, so we collect this data to better inform our future policies and hold ourselves accountable to our commitment. Demographic data is confidential and not shared outside our organization.

Gender Identity
Female
Male
Non-Binary
Prefer Not to Say
Other
Hispanic, Latino/a/x, or Spanish origin
Yes: Mexican, Mexican American, Chicano/a
Yes: Puerto Rican
Yes: Cuban
No
Prefer Not to Say
Other
Racial Identity
American Indian, Native American, or Alaska Native
Asian
Black or African American
White
Native Hawaiian or Pacific Islander
Prefer Not to Say
Other
LGBTQ+ Identity
The participant identifies as LGBTQ+
The participant does not identify as LGBTQ+
Prefer Not to Say
Disability
Yes, the program participant has a disability or chronic condition
No, the participant does not have a disability or chronic condition
Prefer Not to Say
Federal Poverty Guidelines
The participant's household is cost burdened (30%+ of household income is spent on housing)
The participant's household is severely cost burdened (50%+ of household income is spent on housing)
The participant's household falls under Federal Poverty Guidelines
None of the above are applicable
Prefer Not to Say
Household Income
$0 - 24,999
$25,000 - $49,999
$50,000 - $74,999
$75,000 - $99,999
$100,000 +
Prefer Not to Say
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*
I certify that I am 18 years of age or older
Parent or Guardian's Information
Pronoun*
they/them/their
he/him/his
she/her/hers
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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