Loading...

Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19

Pink Pineapple Surf School, the Manasquan Recreation Department and Manasquan Beach

The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people. Pink Pineapple Surf School, the Manasquan Recreation Department and Manasquan Beach have put in place preventative measures to reduce the spread of COVID-19; however, Pink Pineapple Surf School, the Manasquan Recreation Department and Manasquan Beach cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, participation in summer camp programs could increase your risk of contracting COVID- 19.

READ CAREFULLY BEFORE SIGNING – INITIAL EACH PARAGRAPH

By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I may be exposed to or infected by COVID-19 by participation; and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that there is a risk of becoming exposed to or infected by COVID-19 at Pink Pineapple Surf School, the Manasquan Recreation Department and Manasquan Beach.


I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to myself or my child(ren) (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I may experience or incur in connection with my participation at Pink Pineapple Surf School, the Manasquan Recreation Department and Manasquan Beach. On my behalf, I hereby release, covenant not to sue, discharge, and hold harmless Pink Pineapple Surf School, its employees, agents, and representatives, of and from the claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence Pink Pineapple Surf School, the Manasquan Recreation Department and Manasquan Beach., its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation at Pink Pineapple Surf School. 


By signing this document, I agree that if I am exposed or infected by COVID-19 during my participation in this activity, then I may be found by a court of law to have waived my right to maintain a lawsuit against the parties being released on the basis of any claim for negligence. 


I agree that to the best of their ability my child will follow all camp safety guidelines laid out by Pink Pineapple Surf School, the Manasquan Recreation Department and Manasquan Beach. and will attempt to practice safe social distancing and clean hygiene at all times during their participation at Pink Pineapple Surf School. Failure to comply with provided safety guidelines will result in your child’s expulsion from camp. 


 

PINK PINEAPPLE SURF SCHOOL SUMMER 2022 WAIVER

In Consideration of being able to participate in Pink Pineapple Surf School, I agree: or as the parent(s) and/or legal guardian(s) of the minor participant named below agree:

  • I have enrolled my child for whom I have legal custody, in Pink Pineapple Surf School. I do so with complete understanding of the inherent risks associated with all activities the school provides. Thee are many dangers associated with Ocean Swimming, Paddling, Kayaking, Body boarding, Yoga, Stand up Paddling, negotiating the Shore Break and other beach activities that Pink Pineapple Surf School offer to its campers. I have instructed my child to inform the instructors when they do not wish to participate in any activity. My child understands that they are permitted to refuse to participate in any activity that they feel is unsafe, too dangerous, or for any other reason.
  • I/WE fully understand and acknowledge that:
  • There are risks and dangers associated with participation in the events and activities provided by Pink Pineapple Surf School, which could result in bodily injury partial and/or total disability, paralysis and death.
  • The social and economic losses and/or damages, which could result from these risks and dangers described above, could be severe.
  • These risks and dangers may be caused by the action, inaction, or negligence of others including, but not limited to, the releases named below.
  • Sharks, and other marine life may be present and pose a serious danger. Marine life may attack with no warning and these attacks may result in serious injury or death.
  • All marine life we may encounter is potentially dangerous. My child may have allergies to eggs, or other marine life that they/we are unaware of.
  • Cuts and scrapes resulting from rocks, shells, or barnacles can become infected if not treated properly.
  • Exposure to the sun may result in the burning of the skin. Sun care products may not be enough to protect the participant from sun burn. Long term effects of sun exposure have been linked to skin cancer.
  • There is no way to ensure that the beach will be free from hazardous material. The ocean brings pollution to the shores, and there have been reports of hazardous materials on the beach. 
  • ​There may be other risks not known or are not reasonably foreseeable at this time.
  • I/WE accept and assume such risks and responsibility for the losses and/or damages following such injury, disability, paralysis or death, however caused and whether caused in whole or in part by the actions or negligence of the releases named in this document.
  • I/WE HEREBY RELEASE, WAIVE, DISCHARGE AND COVENANT NOT TO SUE Pink Pineapple Surf School, any of its employees, the town of Manasquan, the Manasquan Lifeguards, the Manasquan Beach First Aid or any persons or organizations used by the participant. This includes its owners, managers, instructors, investors, sponsors, promoters, lessees of premises used to conduct the event or program, premises and event inspectors, consultants, and others who give recommendations, directions, or instructions. I RELEASE FROM ALL LIABILITY TO THE UNDERSIGNED.
  • I/WE Hereby acknowledges that THE ACTIVITIES OF THE EVENTS) ARE VERY DANGEROUS and involve the risk of serious injury and/or death and/or property damage. Each of THE UNDERSIGNED also expressly acknowledges that INJURIES RECEIVED MAY BE COMPOUNDED OR INCREASED BY NEGLIGENT RESCUE OPERATION OR PROCEDURES OF THE RELEASEES.
  • EACH OF THE UNDERSIGNED further expressly agrees that the foregoing release, waiver, and indemnity agreement is intended to be as broad and inclusive as is permitted by the law of the State in which the event is conducted and that if any portion is held invalid, it is agreed that the balance shall, notwithstanding continue in full legal force and effect.
  • I acknowledge that Pink Pineapple Surf School may compile and use the name, likeness, recorded voice, addresses, photographs, biographical sketch, and video of the named individual in advertising, marketing, product, packaging or other use, without compensation and without restrictions as to the duration, geography, media or frequency. I consent to such uses and hereby waive all rights to compensation. 

​​PINK PINEAPPLE SURF SCHOOL SUMMER 2022 WAIVER 

In consideration of being permitted to participate in any way in Pink Pineapple Surf School. The parent(s) and/or legal guardian of the minor named below agree:

I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY. ASSUMPTION OF RISK AND INDEMNITY AGREEMENT AND I FULLY UNDERSTAND ITS TERMS, AND I UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT, ASSURANCE OR GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE TO BE COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW. 

 

PINK PINEAPPLE SURF, LLC.

AGREEMENT FOR WAIVER & ASSUMPTION OF RISKS & INDEMNIFICATION SKATE WAIVER

In Consideration of the services of Pink Pineapple Surf, their agents, owners, officers, volunteers, participants, employees, and all other persons or entities acting in any capacity of their behalf (hereinafter collectively referred to as “PPS”), I hereby agree to release, indemnify, and discharge PPS, on behalf of myself, my spouse, my children, my parents, my heirs, assigns, personal representative and estate as follows:

1. I acknowledge that skateboarding entails known and unanticipated risks that could result in physical or emotional injury, paralysis, death, or damage to myself, to property, or to third parties. I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity.

The risks include, among other things: Collision with other participants, the walls other fixed objects; falling down; my own equipment; my own or others negligence; and objects or conditions on the surface that may cause me to fall.

2. I expressly agree and promise to accept and assume all of the risks existing in this activity. My participation in this activity is purely voluntary, and I elect to participate in spite of the risks.

3. I/WE HEREBY RELEASE, WAIVE, DISCHARGE AND COVENANT NOT TO SUE Pink Pineapple Surf School, any of its employees, the town of Manasquan, the Manasquan Lifeguards, the Manasquan Beach First Aid or any persons or organizations used by the participant. This includes its owners, managers, instructors, investors, sponsors, promoters, lessees of premises used to conduct the event or program, premises and event inspectors, consultants, and others who give recommendations, directions, or instructions. I RELEASE FROM ALL LIABILITY TO THE UNDERSIGNED.

4. I certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating, or else I agree to bear the costs of such injury or damage myself. I further certify that I am willing to assume the risk of any medical or physical condition I may have.

By signing this document, I acknowledge that if anyone is hurt or property is damaged during my participation in this activity, I may be found by a court of law to have waived my right to maintain a lawsuit against PPS on the basis of any claim from which I have released them herein.I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by its terms.

Today's Date: May 3, 2024


First Participant's Name

First Name*

Last Name*
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 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*
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*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

First Name*

Last 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.


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*
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 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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!