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PARTICIPANT SAFETY BRIEFING ACCEPTANCE

AS A CONDITION OF COVERAGE, APPLICANT AGREES TO ADHERE TO THE FOLLOWING OPERATING PROCEDURES:

1. I am in good physical and mental health-fitness to participate in this water sport activity.

2. I understand the instructions related to the water sports activity and agree to abide with same as well as all safety rules.

3. I understand the instructions given related to operation of a motorized watercraft:

  • How to start-stop engine
  • How to control speed with throttle
  • Engine shut-off cord on wrist at all times
  • 100 feet separation distance from other watercraft
  • Be alert and defensive to avoid collisions
  • All other instructions given during briefing

4. I agree to wear the Personal Flotation Device at all times and any other required protective clothing, eye-wear, footwear, etc.

5. I agree to give way/priority to other vessels, maintain stated safe distance, position, and moderate speed during the tour, and will avoid aggressive maneuvers to avoid collisions with other watercraft, piers, swimmers, etc.

6. I AM NOT under the influence of medication, alcohol, and/or drugs that may impair my ability to safely engage in these water sports activities.

7. I understand and accept that SHOULD I NOT FOLLOW ALL the safety rules and operating procedures at all times, I will be requested to end my participation in the water sports activities.

I HAVE BEEN INSTRUCTED ON AND UNDERSTAND THE RULES AND INFORMATION PROVIDED TO ME IN THIS ORIENTATION.

Today's Date: March 29, 2024

First Participant's Name

First Name*

Last Name*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
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Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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