2025 Brookside Club Event Waiver- 5/31 Mikh

Brookside Event Waiver

Brookside Club of Saratoga 19127 Cox Ave, Saratoga CA 95070 ~ (408) 253-0231
POOL RULES

For your safety and enjoyment, please review and abide by the following pool rules for our club during your visit:
1. No running on the pool deck
2. No food or drinks in the pool, no glass within 15 ft of the pool
3. No diving in shallow water areas
4. Be kind, no roughhousing
5. Do not hang on or cross through lane lines
6. Adults must supervise children at all times, non-swimmers within arms reach
7. Pool toys– may be prohibited during peak hours. No rafts or big floats allowed
8. Life Jackets (PFDs) must be U.S. Coast Guard Approved
9. Appropriate swim attire must be worn at all times, long hair should be tied back.
10. Double up: all kids under 3 years are required to wear a reusable swim diaper over a disposable swim diaper
11. Dive blocks– limited to supervised use (swim team, lessons, or qualified staff)
12. Diving board (Lifeguard on Duty ONLY, may be restricted)– one person, one bounce, one hand on the wall- forward entry, no run up
13. Adult swim– 10 minute period called at top of every hour (ages 14 and up only)
14. Lifeguards are the authority- follow direction at all times
Members are responsible for communicating and enforcing pool rules to all children and guests

DISCLAIMER: Lifeguard on stand is actively scanning the water- approach for emergencies only. Please see the other lifeguard for all other needs.

Parties/Events: Check in with your event host (Brookside Club Member) for the Lifeguard-given safety briefing before enterng the water.
POOL RULES - Acknowledgement*

I will be responsible for explaining the pool rules above to my children in advance of the event and ensure they abide by the above Pool Rules for their safety and enjoyment of the event.
Parent Email*
EMAIL example@example.com
Parent Cell Phone*
Please enter a valid phone number.
EVENT ATTENDEES - CHILDREN
Child Name 1

First NameLast Name
Child Name 2

First NameLast Name
Child Name 3

First NameLast Name
Child Name 4

First NameLast Name
Brookside Club WAIVER & RELEASE

In consideration of being an invited guest at Brookside Club of Saratoga as part of a party/event, I acknowledge, appreciate, and agree that:
1. The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and
2. I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of the releases or others, and assume full responsibility for my participation and;
3. I willingly agree to comply with the stated and customary terms and conditions for participation. If however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and,
4. I, for myself, and on behalf of my heirs, assigns, personal representatives, and next of kin, hereby release, indemnify, and hold harmless the Brookside Club, their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lesser of premises used to conduct the event, with respect to any and all injury, disability, death, or loss or damage to person or property, whether arising from the negligence of the releases or otherwise, to the fullest extent permitted by law.
The undersigned also expressly acknowledges that by submitting below he or she is relinquishing all rights he or she may have to sue Brookside Club of Saratoga for injuries arising out of the use of the Club’s facilities or its services. This release is intended to be interpreted as broadly as allowed under California law.
WAIVER AND RELEASE OF LIABILITY - Acknowledgment*

I/we hereby release Brookside Club of Saratoga, and its employees from all responsibility or liability of any nature whatsoever for any damages, injuries, or other losses that I/we or she may incur while participating in this activity. This signature below serves as express consent and legal waiver of liability for all listed minor children under the age of 18, as permitted by California law.
Parent/Guardian 1*

First NameLast Name
Parent/Guardian 2

First NameLast Name
Parent/Guardian Signature 1*

Clear
Parent/Guardian Signature 2

Clear
Date 1*

MonthDayYear
Date
Date 2*

MonthDayYear
Date
EMERGENCY CONTACT CARD
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.
Should be Empty:

Brookside Event Waiver