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Swimming Waiver

In consideration for myself, and all persons entering under MY SUPERVISION, being permitted to camp and participate in the activities at Sleepy Hollow Lake, I and all persons listed below, agree to the following Waiver and Release:

 ● I hereby KNOWINGLY AND INTENTIONALLY WAIVE AND RELEASE, INDEMNIFY AND HOLD HARMLESS, Sleepy Hollow Lake, all officers and employees of all liability for injuries caused by, but NOT LIMITED TO, the following activities: CAMPFIRES, HIKING, FISHING, SWIMMING, SAUNA, PLAYGROUND EQUIPMENT, WAGON RIDES, PLANNED EVENTS, DOGS, SHOWERS, SPEED BUMPS, BICYCLE OR MOTORCYCLE USE, GOLF CARTS, ELECTRIC SCOOTERS AND ENCOUNTERS WITH WILDLIFE. I acknowledge that camping has many hazards and that there are risks that cannot be eliminated, particularly in a wilderness environment. 

● I hereby acknowledge that Sleepy Hollow is not responsible for any theft, loss or damages incurred during my stay. 

● My signature below confirms that I have read and agreed to abide by all rules and policies at Sleepy Hollow Lake. I also understand that I can be asked to leave the property, without refund, for failure to follow said rules and policies. A copy of which can be found at our office. 

● I hereby consent to photographs and videos taken of me and all parties listed below during our stay at Sleepy Hollow Lake for purposes of event documentation and promotion of Sleepy Hollow Lake. Names will not be published. 

● My signature confirms that I have valid rabies certificates for any pets in my party. A copy will be provided if necessary. 

● I have reviewed and read the swimming pool policies mandated by NYS and the Erie County Health Department. The swimming pool policies are as follows, but NOT LIMITED TO: 

● THERE ARE NO LIFEGUARDS ON DUTY-Swim at your own risk 

● NEVER SWIM ALONE. A minimum of two adults, 18 years of age or older must be present whenever this swimming facility is in use, with at least one adult remaining on the pool deck. 

● THERE IS NO SUBSTITUTE FOR ADEQUATE SUPERVISION. Children under the age of 16 years of age must be accompanied to the swimming facility by a parent or guardian 18 or older, (an adult who is responsible for the children and their behavior) 

● INCASE OF AN EMERGENCY, NOTIFY 911 IMMEDIATELY AND NOTIFY THE FACILITY OPERATOR. A free telephone is provided at this facility. (Main Office, REC Hall and at the pool patio) 

● Only use the swimming facility during posted hours of operation 

● NO Diving into the swimming pool, NO jumping into the swimming pool. 

● DO NOT DRINK ALCOHOL and swim, NO FOOD OR DRINKS inside the pool gate  

Campsite Number
Campsite Number *
Primary Site Holder
Primary Site Holder Name *
Primary Site Holder Phone Number *
Name & age of all members in your party
Name
Age
Name
Age
Name
Age
Name
Age
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.
First Primary Site Holder's Name
First Name*
Middle Name
Last Name*
First Primary Site Holder's Age Acknowledgment*
First Primary Site Holder's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
First Primary Site Holder's Signature*
Second Primary Site Holder's Name
First Name*
Middle Name
Last Name*
Primary Site Holder's Date of Birth*
Date of Birth
Third Primary Site Holder's Name
First Name*
Middle Name
Last Name*
Primary Site Holder's Date of Birth*
Date of Birth
Fourth Primary Site Holder's Name
First Name*
Middle Name
Last Name*
Primary Site Holder's Date of Birth*
Date of Birth
Fifth Primary Site Holder's Name
First Name*
Middle Name
Last Name*
Primary Site Holder's Date of Birth*
Date of Birth
Sixth Primary Site Holder's Name
First Name*
Middle Name
Last Name*
Primary Site Holder's Date of Birth*
Date of Birth
Seventh Primary Site Holder's Name
First Name*
Middle Name
Last Name*
Primary Site Holder's Date of Birth*
Date of Birth
Eighth Primary Site Holder's Name
First Name*
Middle Name
Last Name*
Primary Site Holder's Date of Birth*
Date of Birth
Ninth Primary Site Holder's Name
First Name*
Middle Name
Last Name*
Primary Site Holder's Date of Birth*
Date of Birth
Tenth Primary Site Holder's Name
First Name*
Middle Name
Last Name*
Primary Site Holder's Date of Birth*
Date of Birth
Camper's Driver's License
Camper's Driver's License *
  
Valid file types: JPG, GIF, PNG, and PDF
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*
Middle Name
Last Name*
Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
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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