Shelley’s Swim Lessons liability waiver
Shelley’s Swim Lessons
13745 Northpointe Dr. NW
Grand Rapids, MI 49534
Please send $25 (cash, check, PayPal, Venmo or Apple Pay) non-refundable deposit PER CHILD PER CLASS to along with this waiver form (only one per family needed) to:
Child’s Name DOB
Child’s Name DOB
Child’s Name DOB
Letter of session(s) scheduled for
Parent/legal guardian’s name
PLEASE READ CAREFULLY BEFORE SIGNING. THIS IS A RELEASE OF LIABILITY AND WAIVER OF CERTAIN LEGAL RIGHTS.
Liability waiver release: I, the parent/guardian of the participant agree and understand that swimming is a hazardous activity. I recognize that there are risks inherent in the sport of swimming, including but not limited to, paralyzing injuries and death.
The participant hereby agrees to participate in swim lessons and hereby agrees to indemnify and hold harmless Shelley’s Swim Lessons LLC and its employees against any liability resulting from any injury that may occur to the participant while participating in swim lessons. The participant also agrees to indemnify Shelley’s Swim Lessons LLC for any damages incurred arising from any claims, demand, action or cause of action by the participant. I do not hold the pool owner or any of its employees responsible for any accidents.
The participant authorizes any representative of Shelley’s Swim Lessons LLC to have the participant treated in any medical emergency during their participation in swim lessons. Further, the participant and/or parent/guardian agrees to pay all costs associated with medical care and transportation for the participant.
I hereby release and agree to hold Shelley’s Swim Lessons LLC harmless from, and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act, or that may otherwise arise in any way in connection with any services received from Shelley’s Swim Lessons LLC. I understand that this release discharges Shelley’s Swim Lessons LLC from any liability or claim that I, my heirs, or any personal representatives may have against Shelley’s Swim Lessons LLC and with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from Shelley’s Swim Lessons LLC. This liability waiver and release extends to all employees.
I have noted in my Swim Registration any medical/health problems of which the staff should be aware.
Covid-19 Policies & waiver release: I acknowledge the contagious nature of COVID-19 and that Shelley’s Swim Lessons LLC has put in place preventative measures to reduce the spread of COVID-19. I further acknowledge that Shelley’s Swim Lessons LLC cannot guarantee that my child will not become infected with COVID-19. I understand that the risk of becoming exposed to and/or infected by COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, staff and other swimmers and their families.
I voluntarily seek services provided by Shelley’s Swim Lessons LLC and acknowledge that I am solely responsible for any and all risks involved having my child attend swim lessons
I HAVE CAREFULLY READ THE ABOVE LIABILITY RELEASES AND SIGN THIS WITH FULL KNOWLEDGE OF ITS CONTENTS AND SIGNIFICANCE.
Parent/legal guardian Signature Date