Your Waiver / Intake Form

Sailor Information

Emergency Contact

Medical Information

It is your responsibility to inform us of any potential medical conditions that may affect you/ your child during the activities associated with the program you or your child will be taking part in. Please, therefore, provide as many details as possible. This information will only be shared with the administrators and coaches. Please indicate below if you have ever suffered from any of the following conditions?

• Asthma/ bronchitis

• Heart conditions

• Seizures, fainting, or blackouts

• Severe headaches/migraines

• Diabetes

• Motion sickness

• Other illnesses or disabilities

WARNING: READ CAREFULLY. THIS AGREEMENT INCLUDES A RELEASE OF LIABILITY AND WAIVER OF LEGAL RIGHTS AND DEPRIVES YOU OF THE RIGHT TO SUE THE EVENT ORGANIZERS AND OTHER PARTIES. DO NOT SIGN THIS AGREEMENT UNLESS YOU HAVE READ IT IN ITS ENTIRETY. SEEK THE ADVICE OF LEGAL COUNSEL IF YOU ARE UNSURE OF ITS EFFECT.

WAIVER AND RELEASE OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT

By signing this form, you confirm that you are fully aware of and appreciate the risks, including the risk of catastrophic injury, paralysis, and even death, as well as other damages and losses associated with participation in a sailing event or sailing lesson. I hereby Release, Waive and Covenant Not to Sue, and further agree to Indemnify, Defend and Hold Harmless the following parties: The Andrew Lewis Foundation, the Boat Owner(s), and sponsor(s) of any event or sailing lesson, along with the employees, officers and directors of these organizations (collectively the Released Parties), from any claims losses or damages arising from or in any way connected with my participation in the event or sailing lesson, including claims, losses or damages arising from or occurring as a result of the actions of anyone of the Released Parties, but not including claims, losses or damages occurring as a result of the intentional or reckless conduct of anyone of the Released Parties.

I, the undersigned, hereby give permission for my child to participate in the Sailing Camp hosted by Kristof Stüven Sailing & Andrew Lewis Sailing Foundation at the Andrew Lewis Sailing Academy. I understand that sailing is a physical activity with inherent risks.

I agree to hold the organizers harmless for any injury, loss, or damage incurred during participation. I also authorize the staff to seek the necessary medical care in the event of an emergency. I have read and understand all the conditions of use stated above.

I do give permission for photos/videos to be used in promotional materials and social media and other online digital and printed publications.

I agree to the Privacy policy, Child protection policy, cancellation policy which can be found publicly on our website in detail regarding registration for sailing sessions.

To insure your protection of privacy your data was saved electronically!

By signing this document, I acknowledge the inherent risks and voluntarily assume full responsibility for any injury, damage, or loss that may result from my participation. I hereby waive and release the business, its owners, and its staff from any and all liability, past, present, and future, relating to the services provided.