Vladswim Challenge Event Liability Waiver and Risk Warning Form

LIABILITY WAIVER FORM AND RISK WARNING

I___________________________________(my full name as per registration form) of ___________________________________________________________(home address as on registration form) also  (known as the “Participant”) am desirous of participating in one or more pool and/or open water Swimming events (each an “Event”) conducted, sponsored or endorsed (whether officially or unofficially) by the Vladswim in Sydney, or elsewhere.

I have read and accept the conditions set out in the WARNING TO SWIMMERS AND ATHLETES ( see other attachment to this form) and I acknowledge that each Event involves a range of risks (not limited to the risks identified by Vladswim), including the risk of serious personal injury to me and that each Event could not be held unless all participants are willing to accept full responsibility for the consequences of these risks.

Therefore, and in consideration of Vladswim accepting me as a participant in any such Event, for myself, my heirs, successors, executors, and administrators, I hereby:

(a) acknowledge that my participation in any Event is entirely at my own risk;

(b) waive, release and discharge Vladswim, its officers, coaches, organisers, members and all

other participants (or any one or more of them and their respective heirs, successors, executors and administrators) (collectively “the Releasees”) from all claims for personal injury or death (“Claims”) and demands whatsoever, including any claim:

(i) arising from the negligence of any of the Releasees during the conduct or otherwise

of any Event (including failure to warn of any particular risk); and

(ii) arising from any act or omission before, during or after an Event

I also agree:

(a) to accept full responsibility for my personal possessions before, during and after an Event; and.

(b) agree that Vladswim may publish or use any photographs of me or any member of my family taken at any Event in any of the Vladswim publications, promotions or records, on the Vladswim website or in such other manner as Vladswim may from time to time decide without my prior approval or consultation with me.

DO NOT SIGN WITHOUT READING THE WARNING TO SWIMMERS AND ATHLETES (see other form).

IF THE PARTICIPANT IS UNDER THE AGE OF 18y THEN THIS FORM NEEDS TO BE PRINTED AND SIGNED BY BOTH 1. Participant and 2. Legal Guardian/Parent and returned to our office via info@vladswim.com.au

PARTICIPANT                                                                     LEGAL GUARDIAN/ PARENT                                                           DATE

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