District Of Columbia
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Is the swim student able to swim with their face in the water for 10 seconds?
Does the athlete have any impairments or disabilities that could affect his/her ability to swim or learn?
If so, please explain so that we can make accommodations where it is possible.
In consideration of being allowed to participate in any way in Race Pace Club AZ Swim School (RPC Swim School) sports program, related events and activities, the undersigned acknowledges, appreciates, and agrees that:
1) The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and,
2) I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, and assume full responsibility for my participation; and,
3) I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and,
4) I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS Race Pace Club AZ Swim School (RPC Swim School) their directors, officers, officials, agents, team doctors and medical practitioners, volunteers and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“RELEASEES”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, to the fullest extent permitted by law.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
Race Pace Club AZ Swim School (RPC Swim School) and Sailfish Sports Project may wish to take photographs (individual and in groups) of swimmers under the age of 18 that may include your child during their participation in the club. All photos will be taken and published in line with club policy and could be used on the team website, in newspaper articles or in club notifications. The club requires parental consent to take and use photographs or video as well to be in compliance with USA Swimming SafeSport rules.
Please check below if you agree to photographs and/or video taken in accordance with USA Swimming and club policy.
I have read and will comply with all provisions set forth in the Race Pace Club AZ Swim School (RPC Swim School) Health & Safety Protocols and COVID Waiver. I understand that violation of these health and safety guidelines will result in dismissal from practice with no refund.