September 2024 SNKD Participation Waiver

PARTICIPANT AGREEMENT, WAIVER AND RELEASE FORM

This for must be completed by all parties before any participation will be allowed.

Participant #1 Name*

Date of Birth*

Date

Participant # 1 Age:

Participant #2 Name (If applicable)

Date of Birth

Date

Participant # 2 Age:

Address

City/State Zip

Email*

example@example.com

Phone Number*

Emergency Contact

Relationship to Participant

Day Time Phone Number

In consideration of being permitted by a "boat captian" to participate in activities at Special Needs Kids Day at Lake Allatoona, I hereby waive, release and discharge any and all claims for damage for personal injury, death or property damage which I may have, or which may hereafter accure to me, as a result of participation in activities at said facilities. This release is intended to discharge in advance the boat owners, volunteers, employees and agents from any and all liability arising out of or connected in any way with my participation in activities at this or any other Lake Allatoona facility even though that liability may arise out of negligence or carelessness on the part of those parties. It is understood that activities such as the ones I will be participating in involve an element of risk and danger of accidents and knowing those risks, I hereby assume those risks. It is further agreed that this waiver, release and assumption of risk is to be binding on my heirs and assigns. I agree to indemnify and to hold harmless, the boat owner, its officers, employees, volunteers and agents from any loss, liability, damage, cost or expense which they may incur as the result of my death or any injury or property damage that I may sustain while participating in any activity at this or any other Lake Allatoona.

I am the parent or legal guardian of the participant listed above. I hereby consent that the participant may participate in activities at this, or any other Lake Allatoona and I hereby execute the Agreement, Waiver and Release on his/her behalf. I hereby affirmatively . state that the said Participant is physically able to participate in said activity. I hereby agree to indemnify and hold the persons and entities mentioned above free and harmless from any loss, liability, damage, cost or expense that they may incur as result of the death or any injury or property damage that said participant may sustain while participating in activities at any such Lake Allatoona facility.

By signing up you also agree that by participating all participants consent to photo images taken during this activity to be used in any or all publications and websites. You grant permission and and give consent to Special Needs Kids Day at the Lake (the release) of any photos taken at the event.*

Photo Consent

I HAVE CAREFULLY READ THIS AGREEMENT, WAIVER AND RELEASE AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF PHOTO PLUS LIABILITY AND CONTRACT BETWEEN MYSELF AND THE SPECIAL NEEDS KIDS DAY AT THE LAKE ALLATOONA, VOLUNTEERS AND I SIGN IT OF MY OWN FREE WILL.

Print Name*

Relationship

Signature*

Date*

Date