Club Guest Waiver Form

Name(Required)

First Last

Email(Required)

Additional Guests

First and Last Name(s) of Additional Guests in Your Party. If last name(s) are the same just populate First Names only

First Name

Last Name

Name of Member(Required)

Guests are required to be accompanied by a Wychmere Club member. Kindly provide the full name of the member you are visiting.

Liability Waiver(Required)

*** SAMPLE VERBIAGE - COPY AND PASTE YOUR CLUB WAIVER VERBIAGE HERE ***

**Release of Liability, Waiver of Claims, Assumption of Risk, and Indemnity Agreement**

**PLEASE READ CAREFULLY, BY AGREEING TO THIS DOCUMENT, YOU CHOOSE TO WAIVE CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE.**

I, __________________________, wish to swim at (Your Pool Club)’s pool facilities. By swimming in the (Your Pool Club)’s pool, I recognize and fully understand certain things, including:
- At no time is there a lifeguard on duty, you (the swimmer) are responsible for the safe use of pool facilities.
- My (the swimmer) use of the pool facilities may involve certain risks including but not limited to:
1. The risk of injuries resulting from possible malfunction of pool equipment.
2. The risk of injuries resulting from tripping or falling over obstacles in the pool area.
3. The risk of injuries resulting from unsupervised swimmers colliding.
4. The risk of other injuries resulting from participating in any action in the pool.
- I recognize and fully understand that the above list is not a complete or exhaustive list of all possible risks; the list only provides examples of types of risks that I am assuming.

In exchange for (Your Pool Club) allowing me to utilize the pool and pool area I hereby agree to the conditions below. I fully intend and choose to give up the legal rights as stated below:
1. **TO WAIVE ANY AND ALL CLAIMS** that I have or may have in the future against (Your Pool Club), its directors, officers, employees, agents, or representatives (hereinafter referred to as the “Club”) relating to my use of the pool and pool area.
2. **TO RELEASE THE RELEASEES** from any and all liability for any loss, damage, injury, expense, or other cost that I may suffer or that my next of kin may suffer in connection with my use of the pool or pool area to any cause whatsoever, INCLUDING NEGLIGENCE ON THE PART OF THE CLUB.
3. **TO HOLD HARMLESS AND INDEMNIFY THE CLUB** from any and all liability to property, or personal injury to, any third party, resulting from the use of the pool or pool area.
4. That I am over the age of 18 or that if I am under the age of 18 my parent/guardian who is a resident of (Your Pool Club), in good standings with fees, has signed this form and that I am responsible and will adhere to all the rules of the property.
5. That this Waiver, Release, and Agreement is fully effective and shall be effective and binding upon me, and my heirs, next of kin, executors, administrators, and assigns, or anyone else authorized to act on my behalf or on behalf of my estate.

I have read and understood this document. I am aware that by signing this document, I am waiving certain legal rights that I may have against the Releasees, and I fully agree to do so. I also acknowledge that should I (the swimmer) be doing anything considered inappropriate or disorderly, or disrupting to other swimmers I may be asked to leave by a member of the Club. Should multiple complaints be made it will be required that I (the swimmer) only be at the pool or pool area with my parent/guardian.

I Agree

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Club Guest Waiver Form

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