2015 Release And Assumption Of Risks Agreement (Page 3 of 4) in pdf

RISK OF BODILY INJURY, AND/OR DEATH WHICH YACHTPERSON IS

ALSO WILLING TO, AND HEREBY DOES, EXPRESSLY AND

VOLUNTARILY ASSUME.

My Intention to Release and Discharge, in Advance, PBC and SYC from Any

Claims Arising Out of those Risks, Even if They Arise Due to PBC and/or

SYC’s Negligence: The YACHTSPERSON, in advance, hereby voluntarily releases,

discharges, and agrees to hold harmless and indemnify PBC and/or SYC from any

and all claims, actions, or causes of action for personal injury, property damage, or

wrongful death occurring to the YACHTSPERSON arising from the activities

described herein, or incidental to those activities, regardless of whether the same

shall arise by the negligence of PBC and/or SYC. YACHTSPERSON acknowledges

that PBC would not agree or allow participation in the activities, or use and access to

its property and facilities, without this agreement. IT IS THE INTENTION OF

THIS AGREEMENT TO EXEMPT AND RELIEVE PBC AND SYC FROM

LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE, OR

WRONGFUL DEATH CAUSED BY NEGLIGENCE.

My Agreement that I or My Minor Child is Required to Wear a Coast Guard-

Approved Personal Flotation Device at All Times: YACHTSPERSON agrees to

wear a lifejacket (“Coast Guard-Approved Personal Flotation Device”) at all times

while using any boat or paddleboard in Stillwater Cove or otherwise participating in

water sport activities. At least one person on a SYC boat must be a SYC member in

good standing, or an immediate family member of a SYC member, or authorized by

PBC and SYC. All decisions of the Harbormaster regarding use of PBC and SYC

boats and paddleboards are final.

Consent and Authorization for PBC and SYC to Provide Medical and Dental

Treatment for my Minor Child: In further consideration for the agreements of

PBC and SYC, made herein, I also agree, represent, and warrant that I am the parent

or legal guardian of the minor child whose name is listed above and below. I hereby

authorize SYC, into whose care the child has been entrusted by me, to consent to

any x-ray examination, anesthetic, medical or surgical diagnosis or treatment and

hospital care to be rendered to said minor under the general and special supervision

and upon the advice of a physician and surgeon licensed under the provisions of the

California Medical Practice Act, and also consent to any x-ray examination,

anesthetic, dental or surgical diagnosis or treatment, and hospital care to be rendered

to said minor by a dentist licensed under the provisions of the California Dental

Practice Act.

I understand that this “Consent and Authorization for SYC to Provide Medical and

Dental Treatment for my Minor Child” will be used if SYC is unable to reach me

within a reasonable period of time given the circumstances of the emergency. I, on

behalf of myself, my spouse, my dependent(s), heirs, insurers, and other

representatives hereby forever release PBC and SYC from any and all liability for

exercising that authorization. I am aware that no medical staff and/or medical

facilities are available on the premises and, as a result, medical attention from other

health care providers shall be requested and obtained in the event of an emergency.

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2015 Release And Assumption Of Risks Agreement Page 3

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