Swim Lesson Waiver & Liability Release Form 📝
Please fill out your details and acknowledge the risks involved in water activities.
PLEASE READ CAREFULLY !
1. Acknowledgment of Risk I, the undersigned parent/guardian, understand that swimming and water-related activities involve inherent risks, including but not limited to: drowning, injury, illness, or other accidents that may occur in or around water. I acknowledge that participation in swim lessons provided by Aqua Fusion Academy is voluntary and may involve risks that cannot be fully eliminated even with proper supervision and safety precautions. ⸻ 2. Assumption of Risk I voluntarily assume full responsibility for any risks of loss, personal injury, illness, or death that may occur to my child/children as a result of participation in swim lessons. ⸻ 3. Medical Authorization In the event of an emergency, I authorize Aqua Fusion Academy and its instructors to: * Provide basic first aid and CPR if necessary * Contact emergency medical services (EMS) * Seek medical treatment for my child if I cannot be reached I understand that I am financially responsible for any medical care provided. ⸻ 4. Release of Liability I hereby release, waive, discharge, and hold harmless Aqua Fusion Academy, its owners, instructors, employees, and contractors from any and all liability, claims, demands, or causes of action arising out of or related to any injury, illness, or incident that may occur during swim lessons. ⸻ 5. Water Safety Responsibility I understand that Aqua Fusion Academy provides instruction and supervision during lesson time only. I acknowledge that: * The instructor is not responsible for supervision before or after lessons * The homeowner/pool owner is responsible for pool safety outside of lesson time * I am responsible for ensuring a safe environment for lessons to take place ⸻ 7. Cancellation Policy * Lessons must be canceled at least 24 hours in advance * Late cancellations or no-shows may be charged in full * Weather-related cancellations will be rescheduled at no cost ⸻ 8. Agreement By signing below, I confirm that: * I have read and understood this waiver * I voluntarily agree to all terms * I am the legal parent/guardian of the participant
Business Name
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Instructor Name
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Parent/Guardian Full Name
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First Name
Last Name
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Acknowledgment of Risk
*
Does your child suffer any allergies or medical history we should know about ?
Date
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Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Signature of Parent/Guardian
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Submit Waiver
Submit Waiver
Should be Empty: