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CLEARWATER COMMUNITY SAILING ASSOCIATION, INC. D/B/A CLEARWATER COMMUNITY SAILING CENTER 1001 GULF BOULEVARD CLEARWATER, FLORIDA 33767

Phone: (727) 517-7776 Fax: (727) 489-2602
Email: office@clearwatercommunitysailing.org
www.clearwatercommunitysailing.org

LIABILITY WAIVER

It is the responsibility of the adult participant or parent/guardian to completely fill out this form and then sign the form before participating in any Clearwater Community Sailing Association, Inc., d/b/a Clearwater Community Sailing Center, hereinafter CCSC, activity. 

In consideration for Clearwater Community Sailing Association, Inc., d/b/a Clearwater Community Sailing Center, hereinafter CCSC, extending to me the privilege of participating in its water sports program, I fully assume all risk and waive all liability in connection with my participation in any program, and in particular, without limitation, to the extent permitted by law. I and my heirs, representatives, executors, or administrators and my undersigned parent or guardian (if applicable) remise, release, indemnify, acquit and hold harmless and forever discharge CCSC and the City of Clearwater, it’s directors, employees, agents, instructors, including volunteers, rescue and support personnel, from any and all liabilities, obligations, damages, claims, causes of action, judgments, costs, and charges that I may have or that may be incurred by me for reason of any occurrence during my travel to and from the event, or during my participation therein, whether resulting from acts or omissions of any persons, from the operation or condition of facilities or premises, or from acts of god or nature. Moreover, nothing herein shall constitute a waiver by the City of Clearwater of its sovereign immunity and the limitations set forth in Section 768.28 Florida Statutes. I hereby agree to comply with all rules and regulations and give my consent for the uncompensated use of my name and picture in any media account, water sports program(s), or any other public relations media for the CCSC or City of Clearwater. I also agree to assume liability for any and all damages to property, belonging to CCSC and/or the City of Clearwater, which is damaged under my control while participating in any CCSC activity

Members/Guest Policy:

The following policies are designed to promote the safe and fun use of CCSC facilities and boats by all members and guests. These policies alone do not guarantee your safety. Members and guests are expected to conduct themselves in a safe and prudent manner at all times, whether their specific actions are addressed by policy or not.

Boat Ramps:

Power boat ramps are slippery. Avoid while walking and while on any vessel.

PFD/Lifejackets 

An approved PFD’s of correct size/weight will be worn and correctly fastened/adjusted any time a member or guests goes beyond the fence gong to the beach. This includes any usage of the dock, entry into the water for any reason, and at ALL TIMES while underway on any CCSC boat. Failure to follow this policy will result in loss of privileges with NO reimbursement of any fee/payments.

Vessel Capacity

All boats have a weight limit provided by the manufacturer. CCSC stays within the manufacturer given recommendations. If you have questions or concerns about the capacity of the vessel you are on, please check with the front office before launching. Hobie Getaway 1000 lbs maximum Hobie Wave 650 lbs maximum RS Cat 16 860 lbs maximum.

Consumption of Alcohol

Consumption of alcohol in any form is prohibited while at the CCSC. Exceptions: 1. In the Carlisle Room event space and upper balcony, for renters and their guests, during the rental period. 2. During other events that occur after regular center hours, with prior CCSC permission.

Smoking:

Smoking is prohibited in all indoor areas of the CCSC. This includes all office spaces, workrooms, and restrooms. Smoking is also prohibited at all times while aboard any CCSC vessel

Swimming & Fishing

Swimming or Fishing is not allowed from the CCSC property including docks or off of any CCSC vessel.

Shoes

Shoes are required at all times while at the CCSC or aboard any CCSC vessel.

Damages:

Inspect boat for damage: Report any problems to the office or CCSC staff. You will be held liable for any damage that is on your vessel after you use it. You are expected to treat the boats and equipment with respect. Failure to do so may result in loss of privileges with NO reimbursement.

SafetyRescue:

If it becomes necessary to send a safety boat out for you CCSC reserves the right to charge you a rescue fee.

Weather:

The CCSC rental fleet is not permitted on the water in more than a sustained 15kts. If you hear thunder or see lightning immediately head back to the sailing center.

Boundaries:

All members and guests are required to stay in the boundaries as dictated by CCSC. Failure to stay within boundaries will result in automatic loss of sailing privileges. If you have not been shown the CCSC boundaries please ask a staff member to show you.

After Sailing:

Once you are off the water check in with a member of the yard staff to confirm how you should leave the boat. Next head to the front office to let the staff know you are off the water safely.

I have read and agree to abided by all Clearwater Community Sailing Center Policies. 

April 23, 2024

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information
Check Status:
Hourly Rental
Private Lesson
Annual Membership
Guest of Member (please provide member name below)

Member:
How did you hear about us?
Friend
Current Member
Walk in
Internet
Hotel
Brochure
Other

List any medical conditions that may interfere with your sailing ability or that may require special accommodations to ensure your safety.
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
Check Status:
Hourly Rental
Private Lesson
Annual Membership
Guest of Member (please provide member name below)

Member:
How did you hear about us?
Friend
Current Member
Walk in
Internet
Hotel
Brochure
Other

List any medical conditions that may interfere with your sailing ability or that may require special accommodations to ensure your safety.
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
Check Status:
Hourly Rental
Private Lesson
Annual Membership
Guest of Member (please provide member name below)

Member:
How did you hear about us?
Friend
Current Member
Walk in
Internet
Hotel
Brochure
Other

List any medical conditions that may interfere with your sailing ability or that may require special accommodations to ensure your safety.
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
Check Status:
Hourly Rental
Private Lesson
Annual Membership
Guest of Member (please provide member name below)

Member:
How did you hear about us?
Friend
Current Member
Walk in
Internet
Hotel
Brochure
Other

List any medical conditions that may interfere with your sailing ability or that may require special accommodations to ensure your safety.
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
Check Status:
Hourly Rental
Private Lesson
Annual Membership
Guest of Member (please provide member name below)

Member:
How did you hear about us?
Friend
Current Member
Walk in
Internet
Hotel
Brochure
Other

List any medical conditions that may interfere with your sailing ability or that may require special accommodations to ensure your safety.
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
Check Status:
Hourly Rental
Private Lesson
Annual Membership
Guest of Member (please provide member name below)

Member:
How did you hear about us?
Friend
Current Member
Walk in
Internet
Hotel
Brochure
Other

List any medical conditions that may interfere with your sailing ability or that may require special accommodations to ensure your safety.
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
Check Status:
Hourly Rental
Private Lesson
Annual Membership
Guest of Member (please provide member name below)

Member:
How did you hear about us?
Friend
Current Member
Walk in
Internet
Hotel
Brochure
Other

List any medical conditions that may interfere with your sailing ability or that may require special accommodations to ensure your safety.
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
Check Status:
Hourly Rental
Private Lesson
Annual Membership
Guest of Member (please provide member name below)

Member:
How did you hear about us?
Friend
Current Member
Walk in
Internet
Hotel
Brochure
Other

List any medical conditions that may interfere with your sailing ability or that may require special accommodations to ensure your safety.
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
Check Status:
Hourly Rental
Private Lesson
Annual Membership
Guest of Member (please provide member name below)

Member:
How did you hear about us?
Friend
Current Member
Walk in
Internet
Hotel
Brochure
Other

List any medical conditions that may interfere with your sailing ability or that may require special accommodations to ensure your safety.
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
Check Status:
Hourly Rental
Private Lesson
Annual Membership
Guest of Member (please provide member name below)

Member:
How did you hear about us?
Friend
Current Member
Walk in
Internet
Hotel
Brochure
Other

List any medical conditions that may interfere with your sailing ability or that may require special accommodations to ensure your safety.
Parent or Guardian's Email Address

Email*
Check to receive information, news, and discounts by e-mail.
A signed copy of this waiver will be sent to the email address you provide.
Additional Participants

Participant #2 First and Last Name

Participant #2 Date of Birth

Participant #3 First and Last Name

Participant #3 Date of Birth

Participant #4 First and Last Name

Participant #4 Date of Birth
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
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:*
For participants under 18 years of age NOTICE TO THE MINOR CHILD’S NATURAL GUARDIAN READ THIS FORM COMPLETELY AND CAREFULLY. YOU ARE AGREEING TO LET YOUR MINOR CHILD ENGAGE IN A POTENTIALLY DANGEROUS ACTIVITY. YOU ARE AGREEING THAT, EVEN IF CCSC USES REASONABLE CARE IN PROVIDING THIS ACTIVITY, THERE IS A CHANCE YOUR CHILD MAY BE SERIOUSLY INJURED OR KILLED BY PARTICIPATING IN THIS ACTIVITY BECAUSE THERE ARE CERTAIN DANGERS INHERENT IN THE ACTIVITY WHICH CANNOT BE AVOIDED OR ELIMINATED. BY SIGNING THIS FORM YOU ARE GIVING UP YOUR CHILD’S RIGHT AND YOUR RIGHT TO RECOVER FROM CCSC IN A LAWSUIT FOR ANY PERSONAL INJURY, INCLUDING DEATH, TO YOUR CHILD OR ANY PROPERTY DAMAGE THAT RESULTS FROM THE RISKS THAT ARE A NATURAL PART OF THE ACTIVITY. YOU HAVE THE RIGHT TO REFUSE TO SIGN THIS FORM, AND (CCSC) HAS THE RIGHT TO REFUSE TO LET YOUR CHILD PARTICIPATE IF YOU DO NOT SIGN THIS FORM.
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*
Parent or Guardian's Information
Check Status:
Hourly Rental
Private Lesson
Annual Membership
Guest of Member (please provide member name below)

Member:
How did you hear about us?
Friend
Current Member
Walk in
Internet
Hotel
Brochure
Other

List any medical conditions that may interfere with your sailing ability or that may require special accommodations to ensure your safety.
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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