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Windsurfing-Maine
Non-Transferable Liability Waiver
Name of
Student or Renter ________________________
Date of Birth
Address:
__________________________
City, State, Zip
Telephone___________________
E-mail
address_______________________
The undersigned assumes all risks and understands that
windsurfing is a potentially hazardous
sport and that there may be variable wind and weather conditions that may
arise and the windsurfer assumes all inherent risks associated with this
sport. Due to the fresh water
mussel population, Windsurfing-Maine recommends wearing footwear at all
times. The undersigned
understands that falls and collisions may result and therefore the
windsurfer assumes the burden of sailing under control at all times.
Rental gear may be revoked without return at any time by management
for misconduct or misuse.
I __________________________ hold Windsurfing-Maine harmless
for any accident or injuries incurred during any and all windsurfing
lessons or rentals. It is agreed that the student is physically and
mentally capable of accomplishing the task, and that the student is a
capable swimmer. It is agreed that the student will follow the rules of
Windsurfing-Maine and will follow all safety instructions.
The student is deemed to be in good health and has no health
problems that would endanger her or his safety or those of other students
while taking windsurfing lessons.
-
I understand that if windsurfing or swimming barefoot, I do so at
my own risk ______
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I do not have any physical limitations that may limit
my ability to windsurf ______
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I
permit Windsurfing-Maine the use of any photographs taken of myself during
lessons or rentals ______
The
U.S. Coast Guard has a PFD (personal floatation device) exemption for
windsurfers,
which
leaves the choice of whether or not to wearing a PFD up to the individual.
Will you be wearing a PFD ? ______
I am capable of swimming 100
yards _________
Student
signature: ____________________________ Date__________
Emergency
contact # __________________________________________
Parent
Name: _______________________________________________________
Signature:
_____________________________ Date: ___________________
Windsurfing-Maine
174
Lakeshore Drive
North
Leeds, Maine 04263
207-577-3671
www.windsurfing-maine.com
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