Coastal Sailing Adventures Inc./Dream Catcher
28555 Jolly Roger Drive
Little Torch Key, FL 33042
Snorkeling/Sailing Consent and Release from Liability
COASTAL SAILING ADVENTURES INC./RAISE THE MAIN INC.
Activity: Organized, supervised, sailing, snorkeling, rowing & excursions
on the water, of the organization named above.
1. PERSONS AGE 18 AND OVER, COMPLETE PART A ONLY.
2. PERSONS UNDER AGE 18 MUST SIGN PART A AND HAVE PARENT OF GUARDIAN SIGN
PART A – CONSENT AND RELEASE FROM LIABILITY
By participating in the activities defined above, I agree to observe in
spirit and practice the following conditions for participation from the
outset to the conclusion of my active participation:
1. I currently have no known physical or mental condition(s) that would
impair my capability for full participation as intended and expected of
2. I understand and appreciate that participation in sailing, snorkeling
& rowing activities despite all reasonable precautions implemented
for my safety as a participant, carries a risk of serious injury, including
death. I also understand and appreciate that controlling that risk is
a responsibility that as a participant I must share. Consequently unless
I have expressed a particular safety concern to an appropriate responsible
person associated with these activities, by my continued participation,
I am acknowledging that the risks of injury from my participation are
acceptable to me. Further, if I am injured , become ill, or suffer any
other personal loss while involved in these activities, I and my family
hold harmless the organization named above and the persons given responsibility
for the conduct of the activity and the rendering of services to me in
association with my participation, excepting occurrences resulting from
gross negligence and wanton intentional misconduct.
3. I give consent for the organization named above to provide medical
attentions, transportation, meals and emergency medical services as warranted.
I choose to obtain these attentions and services from other that provide
it. I accept full responsibility for such actions and their consequences.
Part B PARENT /GUARDIAN CONSENT (If participant is under 18)
I have been given the opportunity to explain to my son/daughter the aforementioned
stipulated conditions and their ramifications, and I consent to his/her
registration for this activity under the above stipulated conditions.