Waiver Form

LIABILITY RELEASE AND ASSUMPTION OF RISK

I, PARTICIPANT, HEREBY DECLARE THAT I UNDERSTAND THAT FREEDIVING IS AN INHERENTLY RISKY ACTIVITY THAT MAY RESULT IN SERIOUS BODILY INJURY OR DEATH. I KNOWINGLY AND FREELY AC­CEPT AND ASSUME ALL RESPONSIBILITY FOR MY PARTICIPATION IN FREEDIVING WITH SEANGLE BREATH SPORTS INSTRUCTION SERVICES, AND ITS COACHES, MEMBERS, VOLUNTEERS AND OTHER INDIVIDUAL IN ACT IN ANY CAPACITY, WITHOUT LIMITATION INCLUDING OTHER PARTICIPANTS OF THIS EVENT (REFERRED AS “SEANGLE BREATH”)

In consideration of SEANGLE BREATH allowing me to participate in freediving activities, I hereby fully release and discharge from responsibility the SEANGLE BREATH, and any other individuals connect­ed to or acting on behalf of them from all liability, claims, losses or damages related to my participation in any of their activities, including, without limitation, resulting from the negligence of any party. I agree that if I, or anyone on my behalf, make any claim or demand against SEANGLE BREATH in connection with my participation in any of their activities, I will indemnify and hold harmless, each, such SEANGLE BREATH from any loss, liability, damage or cost incurred as result of such claim or demand.

I declare that I am in good mental and proper physical condition to participate in freediving. I am not under the influence of alcohol or any drugs that are contraindicated to freediving. I know of no reason why I cannot or should not freedive.

I am legally competent to sign this liability release. I understand the terms herein are contractual and not a mere recital, and that I have signed this document of my own free will and with the knowledge that I hereby agree to waive my legal rights. I further agree that if any provision of this Liability Release and Assumption of Risk is found to be unenforceable or invalid that provision shall be severed and the remainder of this document will then be construed as though the unenforceable provision was not contained herein. 

PHOTO AND VIDEO RELEASE 

I hereby grant "Seangle Breath" and its representatives and assigns, the irrevocable and unrestricted right to capture, film, photograph, use and publish photographs, images or audio-visual clips of me, or in which I may be included, with respect to my participation in the activities covered by this Release for editorial use of "Seangle Breath", trade, advertising and any other purpose and in any manner and medium and in any jurisdiction, to alter the same without restriction, and to copyright the same.

I hereby hold harmless and release and forever discharge the "Seangle Breath" from all claims, demands and liability relating to any such photographs, images or audio-visual clips of me.

I agree that any photographs, images or audio-visual clips taken by me from any of the participants are for personal use only and may not be used for commercial gain. 

PRIVATE POLICY 

By signing this, I consent to the collection, generation, use, processing, storage, and retention of my personal and medical information for the purpose(s) of Seangle Breath Freediving PH only. 

 

 

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  SIGNATURE OVER PRINTED NAME                           VALID UNTIL

 

GOVERNMENT VALID ID PRESENTED and ID NUMBER: __________________