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TEAM PARADISE YOUTH SAILING

Making Sailing Accessible to ALL!

This form MUST be completed and signed before participating in any Team Paradise Sailing activity.

 

Team Paradise Sailing Medical Release/Consent and Waiver of Liability/Assumption of Risk and Indemnity

 

MEDICAL RELEASE

In the event of an emergency requiring medical attention for my child, I hereby authorize and consent to any x-ray, examination, anesthetic, medical or surgical diagnoses or procedure rendered under the general or specific supervision of any medical professional licensed under the laws of the State of Florida.  I understand that this permission is given in advance of any specific diagnoses, treatment or hospital care being required but is given to provide authority and power to render care which the aforementioned medical personnel in the exercise of their best judgment may deem advisable. I understand that reasonable efforts shall be made to contact the undersigned prior to rendering treatment to the patient, but that any of the above treatments will not be withheld if I cannot be reached.

PARENT/PARTICIPANT CONSENT AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY

As the parent or legal guardian (hereafter referred to in the singular) of the named adult or child in this registration (herein referred to as the “child”), request that the child be allowed to participate in the activities at Team Paradise Sailing (herein referred to as “the activities”).  The agreement shall remain in effect until Team Paradise Sailing receives written notice of the cancellation of the consent or until the end of the activities described above.

In return for the child or myself being permitted to take part in the activities and to use the facilities, equipment, and property of Team Paradise Sailing, each of us make the following promises and warrants the truth of the following facts.

Parent/Participant Consent:  I am familiar with the programs included in the activities, and I understand officers and employees of Team Paradise Sailing are available to discuss the activities should I wish additional information.  I also understand I or the appointed chaperone is solely responsible for the arrival and departure of my child at the beginning and end of each day’s program.  I agree that Team Paradise Sailing will have no responsibility for the supervision of myself or my child at times other than during the scheduled activities.  I will inform my child that he/she is expected to cooperate with and follow the directions of the persons in charge of the activities and to act in a manner consistent with the spirit of good sportsmanship and respect for the rights of others.  My child is in good health, and I know of no reason why he/she would be incapable of participating in Team Paradise Sailing activities.

Waiver of Liability:  I waive and release my rights I, my heirs, distributes, guardians, legal representatives and assigns may have or acquire to make a claim against, sue, attach the property of or prosecute Team Paradise Sailing or any of its members, directors, officers, agents, employees and affiliated organizations (herein referred to as “the releases”) for monetary damages caused by injury to myself or my child or damage to the property of myself or my child or arising from my or my child’s participation in the activities and use of the facilities and property of Team Paradise Sailing, whether or not the injury or damage results from the negligence or other action, except intentional acts of any of the releases.

Assumption of Risk:  I understand officers and employees of Team Paradise Sailing consider safety as the foremost priority, and am aware that the activities may involve maneuvering a boat, sailboard, or other watercraft on deep water in potentially hazardous conditions.  With the knowledge of the dangers involved I voluntarily ask that my child be allowed to take part in Team Paradise Sailing activities.  I ACCEPT ANY AND ALL RISKS TO MYSELF OR MY CHILD OF INJURY, DEATH, AND PROPERTY OF TPS, WHETHER OR NOT CAUSED BY NEGLIGENCE OR OTHER ACTION, EXCEPT IN INTENTIONAL ACTS OF ANY OF THE RELEASES.

Parent/Guardian Signature: 

Date:  December 22, 2024

 

Please select who will be participating in Team Paradise/Miami Parks & Recreation Sailing.
Minor
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First Participant Name

First Name*

Last Name*
First Participant Age Acknowledgment*
First Participant Date of Birth*
I certify that I am 18 years of age or older
First Participant Signature*
Parent/Guardian's Email Address

Email*

Confirm Email*
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City of Miami Park Name

Name of City Park *
PARENT/GUARDIAN INFORMATION

Parent/Guardian's First Name *

Parent/Guardian's Last Name *

Zip Code *
Child's Ethnicity
Please choose one.*
Caucasian/White
African American/Black
Latino/Hispanic/Spanish
European
Native American/Alaskan Native
Hawaiian/Pacific Islander
Asian
Prefer Not To Say
HOUSEHOLD INFO.
Two-Parent Household
Single-Parent Household
Custodial Grandparent/Guardian
Prefer not to answer
Click to customize section title
Does your child receive free or reduced meals at school?*
No
Yes
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/Guardian's Name

First Name*

Last Name*

Phone*
Parent/Guardian's Age Acknowledgment*
Parent/Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent/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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