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FLOAT PLAN. PLEASE FILL OUT AND READ CAREFULLY. THIS DOCUMENT EXPLAINS YOUR RISK.

NCR Guest Services, LLC and their affiliates are referred below as the Company.

Please read the following:

 

I have checked the current weather and water conditions and am aware of any related risks.
I understand that everyone in my party must wear a lifejacket properly fastened at all times. If I have any questions about the fit of the lifejacket, I will ask the Company staff.
If I damage the Company’s property, I agree to pay the replacement value.
I will stay in the Tidal Basin and obey all rules.
I understand there is no jumping or swimming from the boats.
The Company is not responsible for lost, stolen or damaged personal items. Personal items should be left behind in a secure location.
If I get hurt, I authorize the Company to call for medical help on my behalf, and I will pay for all my medical fees.
If the Company takes a picture of me, I authorize the Company to use it in Company’s marketing and promotional efforts.

 

If I hear 3 horn blasts, I will immediately return to the Boathouse.

 

I am 18 years of age or older.  I have read and understand the above statements and have had time to ask questions.  I sign this statement voluntarily.  I have the authority to sign on the behalf of any minor I bring on the water, as I am the parent or legal guardian.

Sign stating you understand our agreement

Today's Date: February 6, 2023

This document is valid for the entirety of the 2021 season.

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
A signed copy of this waiver will be sent to the email address you provide.
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 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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