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We are so excited to have you join our community at Hands On Deck.  Please complete this waiver to enable program participation.

Thank You!


I am fully aware that participating in any Hands On Deck (HOD) activities may result in risk of personal injury or harm. I further certify that I am the parent with full parental rights or the legal guardian of this child. I understand that this document will be kept and maintained by HOD or its representatives. I am aware that any photos, video, or audio captured at anytime may be used for promotional purposes.

Programming Release:

I hereby release and hold harmless HOD, its directors, officers, employees, volunteers, committees, boards, and property owners from and against all liability, and I and any parent or guardian signing for me below hereby agree to indemnify them against any human, personal, physical subjective or objective loss, damages, claims, costs (including attorneys’ fees) or actions of any type, resulting from bodily injury, property damage, or any other loss, pain, or trouble that may result from my participation in any activity or program with HOD.

Assumption of Risks: Parent/Guardian understands that physical activity related to the HOD, by its very nature, carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries. Some of these involve use of dangerous tools. The specific risks Participant may be exposed to from participating in HOD can include, but are not limited to: (1) arm injuries; (2) hand injuries; (3) minor injuries; (4) major injuries, such as broken bones, fractures, or cuts; (5) injuries resulting from equipment misuse or malfunction; and (6) property loss or damage. Parent is further advised to have health and accident insurance in effect and that no such coverage is provided for by the HOD or the State of Wisconsin. Parent knows, understands and appreciates the risks that are inherent in the above-listed HOD activities and Parent hereby asserts that Participant’s participation is voluntary and that Parent knowingly assumes all such risks. 

Participant/Parent Conduct: Parent agrees that Parent and Participant have read and understand the policies and procedures of HOD. Parent understands that participation in HOD is voluntary and that Participant and/or Parent may be disciplined and/or removed from HOD, with no registration refunds, if Participant’s or Parent’s behavior or conduct is found to be in violation of any of the aforementioned policies or procedures. Parent agrees to assume the obligations for the expenses of repair and/or replacement of the HOD equipment or facilities that are attributable to Participant’s or Parent’s intentional and/or negligent behavior or conduct. Parent further agrees to defend, hold harmless, indemnify and release HOD, their officers, employees, agents and volunteers, from and against any and all claims, demands, actions or causes of action of any sort on account of damage to personal property, or personal injury, or death which may result from Participant’s or Parent’s intentional and/or negligent behavior or conduct. 

Waiver and Release of Claims: In consideration of Parent’s permission for Participant to voluntarily participate in the HOD activities, Parent, for himself/herself, his/her heirs, personal representatives or assigns and on behalf of Participant, shall defend, hold harmless, indemnify, and release HOD , their officers, employees agents and volunteers, from and against any and all CLAIMS, DEMANDS, ACTIONS OR CAUSES OF ACTION OF ANY SORT ON ACCOUNT OF DAMAGE TO PERSONAL PROPERTY, OR PERSONAL INJURY, OR DEATH WHICH MAY RESULT FROM PARTICIPANT’S PARTICIPATION IN HOD. THIS RELEASE INCLUDES CLAIMS BASED ON THE NEGLIGENCE OF HANDS ON DECK, THEIR OFFICERS, EMPLOYEES, AGENTS AND VOLUNTEERS BUT EXPRESSLY DOES NOT INCLUDE CLAIMS BASED ON THEIR RECKLESS AND INTENTIONAL MISCONDUCT OR GROSS NEGLIGENCE. Parent understands that by signing this Agreement, he/she is releasing claims and giving up substantial rights, including his/her right to sue. 

Governing Law: This Agreement is entered into and shall be governed by the laws of the State of Wisconsin without regard for conflict of laws principles. Furthermore, any legal proceeding involving the negotiation, interpretation or enforcement of this Agreement shall be venued at HOD’s sole election, in the circuit courts of Brown County, Wisconsin. If any part of this Agreement is illegal, the rest of the Agreement stays in force and effect to the extent that it is compliant with the applicable law.

On The Water Programming Release:

I UNDERSTAND THAT THERE ARE INHERENT RISKS INVOLVED WITH WATER ACTIVITIES AND BOATING, including but not limited to equipment failure, foul weather, human error, acts of fellow participants, entering and exiting the water, boarding or disembarking boats, and activities on the docks and I HEREBY ASSUME ALL SUCH RISKS AND IMDEMNIFY HOD, its directors, officers, employees, volunteers, and committees , boards, or property owners.

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 ride on a boat and I will not hold the Released Parties responsible if I am injured as a result of ANY problems (medical, accidental, or otherwise) which may occur while riding in or on the boat, or otherwise participating in the trip.

I will not remove my flotation device at any time while underway. I acknowledge that doing so will constitute a violation of safety rules and procedure for which I expressly assume the risk.

I fully understand that the involved boat has limited medical facilities and that in the event of illness or injury appropriate medical care must be summoned by radio and treatment will be delayed until I can be transported to a proper medical facility. I agree in advance to these conditions.

HOD has made no representation to me implied or otherwise that they or their crew can or will perform safe rescues or render first aid. In the event I show signs of distress or call for aid I would like assistance and will not hold HOD, its directors, officers, employees, volunteers, and committees and boards, their crew, boats or passengers responsible for their actions in attempting the performance of rescue or first aid.

IT IS MY INTENTION BY THIS SIGNING THIS AGREEMENT TO GIVE UP MY RIGHT TO SUE THE RELEASED PARTIES, 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.

8. I have carefully read this contract in its entirety, fully understand its contents, and agree to the terms and conditions of this contract on behalf of my heirs, my personal representatives, and myself. This document constitutes the final and entire agreement between the Released Parties and the undersigned. There are NO WARRATIES expressed or implied, which extend beyond the description of the activity listed on this form. THIS IS A COMPLETE RELEASE OF LIABILITY AND A LEGALLY BINDING CONTRACT.

9. I consent to allow THE RELEASED images and videos captured of me or anyone under my guardianship while participating with a Hands On Deck activity for the purpose of advertising and marketing.

I have read this agreement, am aware that it is a release of liability and a contract between HOD and myself. I sign it of my own free will and agree to be bound by it, from the date of my signature, forever into the future.


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 Signature*
Second Participant's Name

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

Email
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
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 Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
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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