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Medical Waiver & Risk Acknowledgment

Please complete prior to boarding. One form per participant.


Health & Medical Declaration

I Agree
I am in good physical health and capable of participating in boating and fishing activities.

I Agree
 I do not have any condition (e.g. heart, respiratory, mobility, or other serious medical issues) that could affect my safety or that of others.

I Agree
 I understand it is my responsibility to bring necessary medications (e.g. asthma inhalers, EpiPens).

I Agree
 I will inform the crew of any relevant health concerns before departure.


Risk Acknowledgment

I Agree
 Slips, trips, falls, sun exposure, dehydration, motion sickness.

I Agree
 Injury from fishing equipment or marine conditions.

I Agree
 Sudden weather or sea changes beyond operator control.

I Agree
 Crossing a coastal bar, which may involve rough and unpredictable water conditions.

I Agree
 Delayed access to medical assistance if offshore.


Consent & Liability Release

I Agree
 I accept full responsibility for my participation and safety during the trip.

I Agree
 I release Salty Fishing Charters, its crew, and affiliates from liability for injury, illness, property damage, or death, including in the case of negligence.

I Agree
 I consent to emergency medical treatment if required and accept responsibility for associated costs.


COVID-19 & Communicable Diseases

I Agree
 I understand participation carries a risk of exposure to COVID-19 or other communicable diseases.

I Agree
 I am not currently unwell or showing symptoms of illness.


Declaration

By signing below, I confirm that I have read and understood this form, and I agree to all conditions stated.


Today's Date: March 7, 2026


Salty Fishing Charters Pty Ltd – Pelican Waters Marina, Caloundra 4551
Email: saltyfishingcharters@outlook.com
Website: www.saltyfishingcharters.com.au

First Participant's Name
First Name*
Last Name*
First Participant's Date of Birth*
Date of Birth
First Participant's Signature*
Second Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
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*
Phone*
Parent or Guardian's Date of Birth*
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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