Swimfinity Institute

Swimfinity Institute

Registration, Liability, and Consent Form
Parent/Guardian*

First NameLast Name
Primary Contact*
Please enter a valid phone number.
Email*
example@example.com
Participant 1*

First NameLast Name
Birth date*

MonthDayYear
Date
Gender

MaleFemale
Participant 2

First NameLast Name
Birth date

MonthDayYear
Date
Gender

MaleFemale
Participant 3

First NameLast Name
Birth date

MonthDayYear
Date
Gender

MaleFemale
Participant 4

First NameLast Name
Birth date

MonthDayYear
Date
Gender

MaleFemale

I, the parent/legal guardian of the participant(s), desire to take part in Swimfinity Institute lessons and/or other aquatic programs conducted at the swimming pool(s). I am aware that engaging in these activities carries inherent risks, including the potential for physical harm, loss of life, or damage to property. I acknowledge and consent that I/my child(ren) have/has chosen to participate willingly, understanding the associated risks. I confirm that neither I nor my child have any known physical or medical conditions that would impede our ability to take part. In exchange for the privilege of participating in the aforementioned activities, I hereby release and absolve Swimfinity Institute, Inc., along with all of its employees, volunteers, officers, and representatives ("Releasees"), from any and all claims concerning personal injury, death, or property damage that may arise due to or in connection with my/my child(rens) involvement in these activities. This release of liability shall not apply in situations where such harm is the direct result of intentional misconduct or severe negligence on the part of the Releasees.   I acknowledge that photographs or images of myself/my child may be taken during the activity. I provide Swimfinity Institute, Inc., along with their agents and affiliates, with unrestricted permission to utilize my/my child's name, photographs, or any other documentation of our participation in this activity in any form of social medias, broadcast, telecast, or other reports related to the activity for promotional purposes, without any compensation.
I signify my consent by placing my initials here.  
Initials*

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For Parents/Guardians of minor participants only:  As the minor’s parent/guardian, I hereby consent to his/her participation in the activity. If my child is injured or becomes ill and neither I nor the other parent/guardian can be reached at the numbers above, I give Swimfinty Institute, Inc. permission to seek medical attention for my child.  
Your signature*

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