INFORMED CONSENT AND WAIVER/RELEASE
I, the undersigned, as the parent or legal guardian of the child(ren) listed on this application in consideration of the request and permission of my child(ren) to participate in Aquamotion programs, including, but not limited to Swim Lessons, Parties, Camps, hereby assume full responsibility for all risks or injury or loss which may result from my child(ren) participation in these activities and hereby agree to indemnify, hold harmless, release and forever discharge Aquamotion as well as its owners, and employees, from and waive any and all claims, demands, losses, damages and liabilities whatsoever that I or my child(ren) sustain with respect to any accident, illness, injury or death of any person and persons, or damage to or loss or destruction of any property arising or resulting directly or indirectly from my child(ren) participation in the aforementioned program and occurring during said participation or any time subsequent thereto. The terms of this release shall serve as a release and assumption of risk for my child(ren) heirs, executors and administrators and for all my family members. If any portion of this waiver and release is held to be invalid under law, the
remaining portion shall continue in full force and effect.
I consent to my child(ren) participation in Aquamotion programs and understand that there are risks inherent in activities conducted by Aquamotion including, but not limited to paralyzing injuries, brain injuries, and death. With the full understanding of the facts, I state, that to the best of my knowledge, my child(ren) listed on this application has no medical, physical, mental or emotional health conditions or other impediment which would hinder or prevent his/her active participation in Aquamotion programs.