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Snorkeling and Boat Passenger Waiver

GUEST RELEASE OF LIABILITY/ASSUMPTION OF RISK AGREEMENT
PLEASE READ BEFORE SIGNING

Captain Michael Rolph and MyKeys Tours of Islamorada LLC (MKT) require that each charter participant along with the parent or guardian of minor participants, be familiar with and agree to the following legally binding waiver. If you have any questions regarding the contents please contact Captain Michael Rolph before signing. This form must be completed before the charter begins. In consideration of being allowed to participate in the charter, related events and activities, I, the undersigned, acknowledge and agree that:

  1. I understand the risk of injury from the activities involved in boating and associated activities may be significant, including the potential for permanent paralysis and death.
  2. I KNOWINGLY AND FREELY ASSUME ALL KNOWN AND UNKNOWN RISKS for myself and minor children, I understand that I have a duty to exercise reasonable care for my own safety and I agree to do so. I assert that I am physically fit to snorkel and ride on a boat and I will not hold (Captain Michael Rolph or other Captain/First Mate of MyKeys Tours of Islamorada LLC) or other crew members, and assume full responsibility for my participation.
  3. I willingly agree to comply with the policies, terms and conditions for participation. If I observe any unusual significant hazards during my presence or participation, I will remove myself and those I am responsible for (i.e. minor children) from participation and bring it to the attention of the Captain immediately.
  4. It is my intention by this instrument to give up my right to sue all persons or entities refer to herein whether specifically named or not and it is also my intention to exempt and release all released parties and to hold these entities harmless from any and all liability for personal injury, property damage or wrongful death caused by negligence or gross negligence and I assume all risk in connection with snorkeling and boating activities, including but not limited to the maintenance of the equipment or organization of this activity.
  5. Alcohol may be aboard, ILLEGAL substances are disallowed. Adult guests (21+) are responsible for their own choices/behavior and guarding against underage drinking.

I further agree that this waiver shall be construed in accordance with the laws of the state of Florida, and venue for any legal proceeding or lawsuit relating to this waiver shall be in Monroe County, Florida.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND I HAVE GIVEN UP CERTAIN RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. 

Today's Date: June 14, 2024 

First Participant's Name

First Name*

Middle Name

Last Name*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
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Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
This is to certify that I, as parent/Guardian with legal responsibility for this participant, do consent and agree to his/ her release as provided above (and in accordance with the Boating Policies), and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the release from any and all liability incidents to my minor child’s involvement or participation in this program as provided above, even if arising from the negligence of the releasee, the fullest extent permitted by law.


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*

Middle Name

Last Name*
Parent or Guardian's Date of Birth*
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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