Sliv Co LLC waiver and release form
  • SLIV CO LLC. RELEASE FORM

    Please complete ALL Sections
  • PARTICIPANT AGREEMENT, RELEASE AND ASSUMPTION OF RISK

    In consideration of the services of Sliv Co LLC, his agents, owners, officers, volunteers, employees, and all other persons or entities acting in any capacity on their behalf (hereinafter collectively referred to as "SSWS"), I hereby agree to release, indemnify, and discharge SSWS, on behalf of myself, my spouse, my children, my parents, my heirs, assigns, personal representative and estate as follows:

    1. I acknowledge that my participation in wakesurfing training and instruction; activities entails known and unanticipated risks that could result in physical or emotional injury, paralysis, death, or damage to myself, to property, or to third parties. I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity.

    The risks include, among other things: slips and falls; accidental drowning; collision with fixed or moveable objects or other watercraft; rapidly changing adverse weather and water conditions; exhaustion; exposure to the elements of the outdoors and natural surroundings which could cause cold water shock, hypothermia, hyperthermia (heat related illnesses), heat exhaustion, heat stroke, sunburn, dehydration; exposure to potentially dangerous wild animals, insect bites, and hazardous plant life; aggressive and/or poisonous marine life; participants can be jolted, jarred, bounced, thrown about and otherwise shaken during rides; strains, sprains, broken bones and musculoskeletal injuries including head, neck, and back injuries; cuts, abrasions, and bruises; the negligence of participants, or other persons who may be present; equipment failure or operator error; flipping over; accidents or illness can occur in remote places without medical facilities; transmissible pathogen or disease; my own physical condition, and the physical exertion associated with this activity.

    Furthermore, SSWS personnel have difficult jobs to perform. They seek safety, but they are not infallible. They might be unaware of a participant's fitness or abilities. They might misjudge the weather or other environmental conditions. They may give incomplete warnings or instructions, and the equipment being used might malfunction.

    I expressly agree and promise to accept and assume all of the risks existing in this activity. My participation in this activity is purely voluntary, and I elect to participate in spite of the risks. Additionally, I agree to wear a U.S. Coast Guard approved personal flotation device (life jacket) while participating in this activity.
    I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless SSWS from any and all claims, demands, or causes of action, which are in any way connected with my participation in this activity or my use of SSWS's equipment or facilities, including any such claims which allege negligent acts or omissions of SSWS.


    Should SSWS or anyone acting on their behalf, be required to incur attorney's fees and costs to enforce this agreement, I agree to indemnify and hold them harmless for all such fees and costs.


    I certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating, or else I agree to bear the costs of such injury or damage myself. I further certify that I am willing to assume the risk of any medical or physical condition I may have.


    In the event that I file a lawsuit against SSWS, I agree to do so solely in the state of Florida, and I further agree that the substantive law of that state shall apply in that action without regard to the conflict of law rules of that state. I agree that if any portion of this agreement is found to be void or unenforceable, the remaining document shall remain in full force and effect
    By signing this document, I acknowledge that if anyone is hurt or property is damaged during my participation in this activity, I may be found by a court of law to have waived my right to maintain a lawsuit against SSWS on the basis of any claim from which I have released them herein. I also agree that this document is valid for subsequent visits and participation at SSWS.
    I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by its terms.

  • Participate Information

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  • Format: (000) 000-0000.
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  • PERPETUAL WAIVER & RELEASE

    VALID FOR EACH AND EVERY DATE OF PARTICIPATION
  • We want you to have a great experience with us. However, for your protection and ours, you must read and agree to the provisions below before you are authorized to use our facilities and/or services. The different activities that are offered entail certain risks that simply cannot be eliminated without jeopardizing the essential qualities of the activity. If you are unable or unwilling to sign this Waiver and Release, you are welcome to enjoy yourself by watching others, but we cannot allow you to personally participate in any of our activities or actively use our facilities and/or services.

    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 Sean Silveira 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 Sean Silveira. 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 Sean Silveira HAS THE RIGHT TO REFUSE TO LET YOUR CHILD PARTICIPATE IF YOU DO NOT SIGN THIS FORM.

  • Has read this waiver and release and agrees as to follow:

  • 1. I recognize and agree that: all risks can never be eliminated, and participating in the activities at Sean Silveira, involves inherent danger and potential risk of both minor and serious, temporary and permanent, bodily injury of any and all kinds, both caused by me and/or by others. In signing this release, I assume all risk for, and financial cost of, any and all injuries, and/or any damage, to my child/children.


    2. On behalf of my minor child/children I fully, and forever waive, release and discharge Sean Silveira and its individual members, managers, directors, officers, agents, employees, volunteers, representatives, affiliated entities, and all other persons, firms, corporations, associations or partnerships claiming by or through them, from any and all claims, actions, causes of action, demands, judgments, damages (including compensatory, general, special, consequential, and exemplary), liability or obligations of any nature or kind, whether known at the time or which may arise or become known later, which accrue on account of, or in any way arise out of or in connection with me or my child’s activities with or at Sean Silveira, including claims involving their own negligence.

    3. I agree to indemnify and hold harmless Sean Silveira and its individual managers, directors, officers, agents, employees, volunteers, representatives, affiliated entities, and all other persons, corporations, or partnerships claiming by or through them, from and against any and all losses, liabilities, claims, obligations, costs, damages, and/or judgments directly or indirectly arising out of, or relating to, my
    child’s/children’s participation in any activities at Sean Silveira, including for claims alleging Sean Silveira’ own negligence.

    4. I understand that this agreement extends forever into the future and will have full force and legal effect each and every time my child/children visit Sean Silveira whether at the current location or any other location or facility.

  • Parent/Guardian or Emergency Contact Details

    REQUIRED IF UNDER THE AGE 18.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
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  • Acknowledgment, Authorization and Waiver

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  • NAMES AND BIRTHDATES OF ALL CHILDREN UNDER 18 to be included with your signature

  • MINOR NAME 1
    D.O.B
    RELATION     


  • MINOR NAME 2
    D.O.B
    RELATION     

  • MINOR NAME 3
    D.O.B
    RELATION     

  • MINOR NAME 4
    D.O.B
    RELATION     

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