Release Form 2015

SAN DIEGO SURFING SCHOOL, Inc.  DBA: San Diego Surf School
Address: 4850 cass st, San Diego, Ca 92109
Phone: 858-205-7683        E-mail: SanDiegoSurfSchool@gmail.com

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2015 Release Form

SPORT PARTICIPANT RELEASE OF LIABILITY, WAIVER OF CLAIMS, EXPRESS ASSUMPTION OF

RISK AND INDEMNITY AGREEMENT FOR SAN DIEGO SURF SCHOOL.

Please read and be certain you understand the implications of signing.

I, ________________________________________________ do hereby affirm and acknowledge that I have been

fully informed of the inherent hazards and risks associated with surfing and understand that injuries may occur

during participation at San Diego Surf School. I understand that there are inherent risks involved in the sport of

surfing and that injuries are a normal and ordinary occurrence, and fully recognize such hazards and understand the

nature and existence of inherent risks. In the event of injury to my child, dependent, or myself, I hereby release San

Diego Surf School, it’s owners, employees, independent contractors, and sponsors from any and all liability claims,

or personal injury claims, including accidental death. Further, I realize the City of San Diego and the State of

California and their officials and employees from any and all liability claims for personal injury, including

accidental death, or property damage. In the event that I cannot be reached in a medical emergency.

________(Initial) I agree to indemnify, defend, hold harmless and release the City of San Diego, its elected and

appointed officials, agents, employees, and volunteers from any and all lawsuits, damages, judgments, losses,

liability or expenses arising out (1) the death or personal injury or property damage to myself, my child, or my ward,

which may be sustained while using property owned by or under the control of the City of San Diego, or (2) any

death or injury which results or increases by any action taken to medically treat me, my child, or my ward. All of

the terms above shall apply whether or not caused by the alleged negligence, whether active or passive, or any acts

or omissions of the city of San Diego, or any of it’s elected or appointed officers, agents, employees, or volunteers

________(Initial) I have read, understand, and approve this Release Liability Form. If the participant is a minor, the

undersigned parent or legal guardian warrants and represents this Release, its significance and the assumption of

risk, as be explain to an understood by my minor child or ward. “I hereby declare, under penalty or perjury, that I am

the parent or legal guardian of the named participant.”

By signing this Hold Harmless & Medical Release From, I attest to reading it in full, and completely understand and

agree to its terms. I also understand that this release form is valid for all San Diego Surf School activates from the

date I sign below through December 31, 2014.

Name Participant: _____________________________________________________________________

Signature of Participant (**Required if 18 or older): ________________________________________

Name of Legal Guardian: ______________________________________________________________

Legal Relationship to Participant: ________________________________________________________

Signature of Legal Guardian: ___________________________________________________________

Emergency Contact: ____________________________________Phone #________________________

Hold Harmless and Medical Release Form must be signed by the participant’s legal guardian and received by San

Diego Surf School before participation is permitted. No refunds will be for non-participation due to failure to

submit a Hold Harmless & Medical Release form.