Loading...

 Youth Sailing Program Agreement, Waiver and Liability Release 

HRCS Release and Waiver of Liability

In consideration of my child’s or my participation in activities operated by Hudson River Community Sailing Inc., a New York not-for-profit corporation (“HRCS”), I agree to the following terms of this Release and Waiver of Liability (this “Agreement”), on behalf of myself and my participating child, heirs, and estate (together, “we”):

Safety Obligations of Sailors

All individuals sailing or participating in any program of HRCS (each, an “HRCS Activity”) must conduct themselves safely and exercise good judgment. We will abide by all HRCS safety policies and procedures both written and verbal, including those specific to Covid-19. 

Risks

Sailing is challenging and physically demanding. Hazards include, but are not limited to, strong winds; wind shifts affecting boat stability and passenger balance; unanticipated swings of the boom; handling lines and winches under strain; high waves; strong tidal currents; sudden and unexpected immersion in deep waters; collision with other watercraft or stationary objects such as docks, pilings, and buoys; slips and falls on docks and walkways, or other areas on and near the boathouse; loading and unloading of sailboat; and launch in a choppy and busy marine environment.

Acknowledgement and Assumption of Risk

We acknowledge that sailing is an inherently dangerous activity, and that participating in HRCS Activities involves inherent risks, including some not described above, that can cause or lead to death, injury, illness (including communicable diseases such as COVID-19), or property damage. We understand that HRCS cannot assure our safety and cannot control or eliminate such risks, as they are an inherent aspect of HRCS’ recreational, educational and other objectives. We assume all of the risks of the HRCS Activities, whether or not such risks are inherent or described above.

Release and Waiver

In connection with any HRCS Activities in which we participate, we hereby forever release from liability HRCS, US Sailing, NY Kayak Polo, Hudson River Park Trust, the State of New York, NYC Department of Parks and Recreation, the City of New York, and each of their offices, departments, agencies, commissioners, directors, partners, officers, agents, employees, contractors, successors and assigns, and other persons or entities acting under the direction or control of any of the preceding people or entities (each of the above, an “Indemnitee”). We waive any claim against, and agree not to sue, any of the Indemnitees for any liability, loss, injury, illness, death, or expense (each, a “Loss”) in any way associated with any of our enrollment or participation in HRCS Activities including, without limitation, the use of any of its boats, equipment or facilities. This release, waiver, and promise not to sue includes, without limitation, (a) any Losses alleged to be relating, in whole or in part, to the negligence, whether active or passive, of any of the Indemnitees to the fullest extent allowed by law (but not for gross negligence or intentional misconduct); (b) claims for injury, property damage, wrongful death, and breach of contract; and (c) any other type of claim against any Indemnitee, whether at law, equity, or admiralty.

Indemnity

We will defend and indemnify each of the Indemnitees against any Loss (including, without limitation, attorneys’ fees and costs) with respect to any claim of a third party relating to our enrollment or participation in any HRCS Activities or our use of HRCS boats, equipment or facilities, to the extent permitted by applicable laws and regulations.

General Provisions

The laws of New York govern all matters related to this Agreement or our participation in HRCS Activities. With respect to any action or proceeding of any kind relating to our relationship with HRCS, including but not limited to participation in HRCS Activities, we submit to the exclusive jurisdiction of the federal and state courts sitting in New York County.

If any portion of this Agreement is determined to be unenforceable, the remaining provisions remain in effect. HRCS may use my photo, video, or other image for reproduction in any manner it desires, including, without limitation, advertising or display.

I have carefully read, understand, and voluntarily sign this Agreement. I understand that I am surrendering certain legal rights. I hereby warrant that I have legal authority to act on behalf of my participating child. I agree, on behalf of myself and my participating child, heirs, and estate, to the terms of this Agreement.

If participant is under the age of 18 at the time this document is signed, both the participant and at least one parent or guardian must sign the release.



Dated: 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 Medical Information

Sailing classes can be  physically demanding. To better assist your child in having a successful class and offer him/her a high quality experience, it would be helpful for our staff to know the following information about his/her health. HRCS strives to make reasonable accommodations for student medical and physical conditions and having your truthful responses to the questions below will assist our staff in doing so.

1. Has your child experienced an asthma attack requiring hospitalization or medication?*
No
Yes
2. Has your child ever visited a medical professional for a serious allergic reaction, or been given epinephrine for an allergy or anaphylaxis?*
No
Yes
3. Has your child ever received medical treatment for angina, a heart attack, or any type of heart disorder/disease?*
No
Yes
4. Has your child ever seen a medical professional for a seizure, or is your child currently being treated for any type of seizure disorder?*
No
Yes
5. Is your child currently pregnant?*
No
Yes
6. Does your child have any other health, physical, or medical conditions that might affect his/her participation?*
No
Yes
7. Is your child taking any medications during program that might effect performance, or we should be aware about for other reasons?*
No
Yes

8. If you answered "Yes" to any questions, please describe briefly:

If you answered 'Yes' to any of the above questions, HRCS strongly recommends that you consult with your child's medical provider prior to his/her participation in the class. Our Program Coordinators are also available to answer any questions that you might have about the activities.

First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Medical Information

Sailing classes can be  physically demanding. To better assist your child in having a successful class and offer him/her a high quality experience, it would be helpful for our staff to know the following information about his/her health. HRCS strives to make reasonable accommodations for student medical and physical conditions and having your truthful responses to the questions below will assist our staff in doing so.

1. Has your child experienced an asthma attack requiring hospitalization or medication?*
No
Yes
2. Has your child ever visited a medical professional for a serious allergic reaction, or been given epinephrine for an allergy or anaphylaxis?*
No
Yes
3. Has your child ever received medical treatment for angina, a heart attack, or any type of heart disorder/disease?*
No
Yes
4. Has your child ever seen a medical professional for a seizure, or is your child currently being treated for any type of seizure disorder?*
No
Yes
5. Is your child currently pregnant?*
No
Yes
6. Does your child have any other health, physical, or medical conditions that might affect his/her participation?*
No
Yes
7. Is your child taking any medications during program that might effect performance, or we should be aware about for other reasons?*
No
Yes

8. If you answered "Yes" to any questions, please describe briefly:

If you answered 'Yes' to any of the above questions, HRCS strongly recommends that you consult with your child's medical provider prior to his/her participation in the class. Our Program Coordinators are also available to answer any questions that you might have about the activities.

Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Medical Information

Sailing classes can be  physically demanding. To better assist your child in having a successful class and offer him/her a high quality experience, it would be helpful for our staff to know the following information about his/her health. HRCS strives to make reasonable accommodations for student medical and physical conditions and having your truthful responses to the questions below will assist our staff in doing so.

1. Has your child experienced an asthma attack requiring hospitalization or medication?*
No
Yes
2. Has your child ever visited a medical professional for a serious allergic reaction, or been given epinephrine for an allergy or anaphylaxis?*
No
Yes
3. Has your child ever received medical treatment for angina, a heart attack, or any type of heart disorder/disease?*
No
Yes
4. Has your child ever seen a medical professional for a seizure, or is your child currently being treated for any type of seizure disorder?*
No
Yes
5. Is your child currently pregnant?*
No
Yes
6. Does your child have any other health, physical, or medical conditions that might affect his/her participation?*
No
Yes
7. Is your child taking any medications during program that might effect performance, or we should be aware about for other reasons?*
No
Yes

8. If you answered "Yes" to any questions, please describe briefly:

If you answered 'Yes' to any of the above questions, HRCS strongly recommends that you consult with your child's medical provider prior to his/her participation in the class. Our Program Coordinators are also available to answer any questions that you might have about the activities.

Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Medical Information

Sailing classes can be  physically demanding. To better assist your child in having a successful class and offer him/her a high quality experience, it would be helpful for our staff to know the following information about his/her health. HRCS strives to make reasonable accommodations for student medical and physical conditions and having your truthful responses to the questions below will assist our staff in doing so.

1. Has your child experienced an asthma attack requiring hospitalization or medication?*
No
Yes
2. Has your child ever visited a medical professional for a serious allergic reaction, or been given epinephrine for an allergy or anaphylaxis?*
No
Yes
3. Has your child ever received medical treatment for angina, a heart attack, or any type of heart disorder/disease?*
No
Yes
4. Has your child ever seen a medical professional for a seizure, or is your child currently being treated for any type of seizure disorder?*
No
Yes
5. Is your child currently pregnant?*
No
Yes
6. Does your child have any other health, physical, or medical conditions that might affect his/her participation?*
No
Yes
7. Is your child taking any medications during program that might effect performance, or we should be aware about for other reasons?*
No
Yes

8. If you answered "Yes" to any questions, please describe briefly:

If you answered 'Yes' to any of the above questions, HRCS strongly recommends that you consult with your child's medical provider prior to his/her participation in the class. Our Program Coordinators are also available to answer any questions that you might have about the activities.

Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Medical Information

Sailing classes can be  physically demanding. To better assist your child in having a successful class and offer him/her a high quality experience, it would be helpful for our staff to know the following information about his/her health. HRCS strives to make reasonable accommodations for student medical and physical conditions and having your truthful responses to the questions below will assist our staff in doing so.

1. Has your child experienced an asthma attack requiring hospitalization or medication?*
No
Yes
2. Has your child ever visited a medical professional for a serious allergic reaction, or been given epinephrine for an allergy or anaphylaxis?*
No
Yes
3. Has your child ever received medical treatment for angina, a heart attack, or any type of heart disorder/disease?*
No
Yes
4. Has your child ever seen a medical professional for a seizure, or is your child currently being treated for any type of seizure disorder?*
No
Yes
5. Is your child currently pregnant?*
No
Yes
6. Does your child have any other health, physical, or medical conditions that might affect his/her participation?*
No
Yes
7. Is your child taking any medications during program that might effect performance, or we should be aware about for other reasons?*
No
Yes

8. If you answered "Yes" to any questions, please describe briefly:

If you answered 'Yes' to any of the above questions, HRCS strongly recommends that you consult with your child's medical provider prior to his/her participation in the class. Our Program Coordinators are also available to answer any questions that you might have about the activities.

Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Medical Information

Sailing classes can be  physically demanding. To better assist your child in having a successful class and offer him/her a high quality experience, it would be helpful for our staff to know the following information about his/her health. HRCS strives to make reasonable accommodations for student medical and physical conditions and having your truthful responses to the questions below will assist our staff in doing so.

1. Has your child experienced an asthma attack requiring hospitalization or medication?*
No
Yes
2. Has your child ever visited a medical professional for a serious allergic reaction, or been given epinephrine for an allergy or anaphylaxis?*
No
Yes
3. Has your child ever received medical treatment for angina, a heart attack, or any type of heart disorder/disease?*
No
Yes
4. Has your child ever seen a medical professional for a seizure, or is your child currently being treated for any type of seizure disorder?*
No
Yes
5. Is your child currently pregnant?*
No
Yes
6. Does your child have any other health, physical, or medical conditions that might affect his/her participation?*
No
Yes
7. Is your child taking any medications during program that might effect performance, or we should be aware about for other reasons?*
No
Yes

8. If you answered "Yes" to any questions, please describe briefly:

If you answered 'Yes' to any of the above questions, HRCS strongly recommends that you consult with your child's medical provider prior to his/her participation in the class. Our Program Coordinators are also available to answer any questions that you might have about the activities.

Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Medical Information

Sailing classes can be  physically demanding. To better assist your child in having a successful class and offer him/her a high quality experience, it would be helpful for our staff to know the following information about his/her health. HRCS strives to make reasonable accommodations for student medical and physical conditions and having your truthful responses to the questions below will assist our staff in doing so.

1. Has your child experienced an asthma attack requiring hospitalization or medication?*
No
Yes
2. Has your child ever visited a medical professional for a serious allergic reaction, or been given epinephrine for an allergy or anaphylaxis?*
No
Yes
3. Has your child ever received medical treatment for angina, a heart attack, or any type of heart disorder/disease?*
No
Yes
4. Has your child ever seen a medical professional for a seizure, or is your child currently being treated for any type of seizure disorder?*
No
Yes
5. Is your child currently pregnant?*
No
Yes
6. Does your child have any other health, physical, or medical conditions that might affect his/her participation?*
No
Yes
7. Is your child taking any medications during program that might effect performance, or we should be aware about for other reasons?*
No
Yes

8. If you answered "Yes" to any questions, please describe briefly:

If you answered 'Yes' to any of the above questions, HRCS strongly recommends that you consult with your child's medical provider prior to his/her participation in the class. Our Program Coordinators are also available to answer any questions that you might have about the activities.

Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Medical Information

Sailing classes can be  physically demanding. To better assist your child in having a successful class and offer him/her a high quality experience, it would be helpful for our staff to know the following information about his/her health. HRCS strives to make reasonable accommodations for student medical and physical conditions and having your truthful responses to the questions below will assist our staff in doing so.

1. Has your child experienced an asthma attack requiring hospitalization or medication?*
No
Yes
2. Has your child ever visited a medical professional for a serious allergic reaction, or been given epinephrine for an allergy or anaphylaxis?*
No
Yes
3. Has your child ever received medical treatment for angina, a heart attack, or any type of heart disorder/disease?*
No
Yes
4. Has your child ever seen a medical professional for a seizure, or is your child currently being treated for any type of seizure disorder?*
No
Yes
5. Is your child currently pregnant?*
No
Yes
6. Does your child have any other health, physical, or medical conditions that might affect his/her participation?*
No
Yes
7. Is your child taking any medications during program that might effect performance, or we should be aware about for other reasons?*
No
Yes

8. If you answered "Yes" to any questions, please describe briefly:

If you answered 'Yes' to any of the above questions, HRCS strongly recommends that you consult with your child's medical provider prior to his/her participation in the class. Our Program Coordinators are also available to answer any questions that you might have about the activities.

Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Medical Information

Sailing classes can be  physically demanding. To better assist your child in having a successful class and offer him/her a high quality experience, it would be helpful for our staff to know the following information about his/her health. HRCS strives to make reasonable accommodations for student medical and physical conditions and having your truthful responses to the questions below will assist our staff in doing so.

1. Has your child experienced an asthma attack requiring hospitalization or medication?*
No
Yes
2. Has your child ever visited a medical professional for a serious allergic reaction, or been given epinephrine for an allergy or anaphylaxis?*
No
Yes
3. Has your child ever received medical treatment for angina, a heart attack, or any type of heart disorder/disease?*
No
Yes
4. Has your child ever seen a medical professional for a seizure, or is your child currently being treated for any type of seizure disorder?*
No
Yes
5. Is your child currently pregnant?*
No
Yes
6. Does your child have any other health, physical, or medical conditions that might affect his/her participation?*
No
Yes
7. Is your child taking any medications during program that might effect performance, or we should be aware about for other reasons?*
No
Yes

8. If you answered "Yes" to any questions, please describe briefly:

If you answered 'Yes' to any of the above questions, HRCS strongly recommends that you consult with your child's medical provider prior to his/her participation in the class. Our Program Coordinators are also available to answer any questions that you might have about the activities.

Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Medical Information

Sailing classes can be  physically demanding. To better assist your child in having a successful class and offer him/her a high quality experience, it would be helpful for our staff to know the following information about his/her health. HRCS strives to make reasonable accommodations for student medical and physical conditions and having your truthful responses to the questions below will assist our staff in doing so.

1. Has your child experienced an asthma attack requiring hospitalization or medication?*
No
Yes
2. Has your child ever visited a medical professional for a serious allergic reaction, or been given epinephrine for an allergy or anaphylaxis?*
No
Yes
3. Has your child ever received medical treatment for angina, a heart attack, or any type of heart disorder/disease?*
No
Yes
4. Has your child ever seen a medical professional for a seizure, or is your child currently being treated for any type of seizure disorder?*
No
Yes
5. Is your child currently pregnant?*
No
Yes
6. Does your child have any other health, physical, or medical conditions that might affect his/her participation?*
No
Yes
7. Is your child taking any medications during program that might effect performance, or we should be aware about for other reasons?*
No
Yes

8. If you answered "Yes" to any questions, please describe briefly:

If you answered 'Yes' to any of the above questions, HRCS strongly recommends that you consult with your child's medical provider prior to his/her participation in the class. Our Program Coordinators are also available to answer any questions that you might have about the activities.

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 Medical Information

Sailing classes can be  physically demanding. To better assist your child in having a successful class and offer him/her a high quality experience, it would be helpful for our staff to know the following information about his/her health. HRCS strives to make reasonable accommodations for student medical and physical conditions and having your truthful responses to the questions below will assist our staff in doing so.

1. Has your child experienced an asthma attack requiring hospitalization or medication?*
No
Yes
2. Has your child ever visited a medical professional for a serious allergic reaction, or been given epinephrine for an allergy or anaphylaxis?*
No
Yes
3. Has your child ever received medical treatment for angina, a heart attack, or any type of heart disorder/disease?*
No
Yes
4. Has your child ever seen a medical professional for a seizure, or is your child currently being treated for any type of seizure disorder?*
No
Yes
5. Is your child currently pregnant?*
No
Yes
6. Does your child have any other health, physical, or medical conditions that might affect his/her participation?*
No
Yes
7. Is your child taking any medications during program that might effect performance, or we should be aware about for other reasons?*
No
Yes

8. If you answered "Yes" to any questions, please describe briefly:

If you answered 'Yes' to any of the above questions, HRCS strongly recommends that you consult with your child's medical provider prior to his/her participation in the class. Our Program Coordinators are also available to answer any questions that you might have about the activities.

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!