This release limits your rights to recover any damages in case of accident. I hereby grant permission of my child to attend activities at SURF SCHOOL. My child understands that he/she must follow all guidelines and safety rules of the program.
Parent Signature:_______________________________________
In consideration of acceptance of my registration into SURF SCHOOL, I hereby waive and release any and all claims for damages, injuries or death that may be suffered before, during or after activities with the SURF SCHOOL. I will further hold harmless and defend: Ft. Pierce Inlet State Park, DNR and their employees, U.S. Government, the City and County governments concerned, the State of Florida, their members or agents, any officials or employees connected with this camp and any sponsors of SURF SCHOOL and Louis A. and Robin Maresca and all agents connected with the school.
I fully understand that surfing is potentially dangerous and I voluntarily assume all risks related to the act of surfing including by not limited to the presence of dangerous sea life.
I verify that I, or my child, is mentally sound, in good physical health and fully capable to participate in the strenuous activites related to surfing. Should the need for medical treatment for myself or my child be necessary, I hereby authorize any physician, trainer or nurse selected by school personnel to order and conduct any emergency medical or surgical procedures necessary to save life and limb. I understand that I an fully responsible for all hospital, laboratory and doctor fees.
I have read and understand the above statement.
Signature:______________________________ Date:________________
Notary Public:
State of:_________________________
County of:________________________ ss.
On this the __________ day of __________________, _____, before me, ____________________________ , the undersigned officer,
personally appeared __________________________, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within
instrument and acknowledged that he/she executed the same for the purposes therein contained. In witness whereof, I hereunto set my hand and official seal.
________________________________
Notary Public
My Commission Expires:__________________________
