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Yes	No
		I am the parent/guardian and have full authority regarding the child listed below.
		I understand my child, listed below, will be participating in open water swimming, which is inheriantly dangerous.
		By signing this waiver, I certify and I understand, that I cannot sue any person, instructor or coaches or those who act on behalf of the Oannes Swims organization or those who may have authority over the company, and no one else can sue on my behalf.
		I agree to be available, beach side, during each of the sessions in which my child will be participating.
		I agree to take responsibility for my child and abide by the points outlined in the all six (6) sections of this open water Under 18 Waiver.
		I understand that in the documentation below I will often be referred to as the 'client'.


Child's Full Name	Child's Date of Birth (dd/mm/year)

Parent/Guardian Full name	Sign name
Date

End of Oannes Swims - Open Water Swimming - Under Age Waiver - Section 1

To enter an Oannes Swims event you must read and agree to the terms set out in the five (5) sections of this four (4) page waiver.

I, the undersigned, in consideration of and as a condition of acceptance of my entry in the event for myself, my heirs, executors and administrators hereby waive all and any claim, right or cause of action which I or they might otherwise have for or arising out of my loss of life, injury, damage or loss of any description whatsoever which I may suffer or sustain in the course of or consequent upon my entry or participation in the said event and I admit that I participate in the said event solely at my own risk.
This waiver, release and discharge shall be and operate separately in favour of all persons, corporations and bodies involved or otherwise engaged in promoting or staging the event and the servants, agents, representatives and officers of them and includes but is not limited to Oannes Athletics, Oannes Swims, Kelvin Landolt, NP Consultants, the facility where the event is held, life guards, coaching staff, medical and paramedical personnel, police officers and shall operate whether or not the loss, injury or damage is attributable to the act or neglect of any one or more of them.
I hereby acknowledge that I have sole responsibility for my personal possessions and swimming equipment during the event.
I hereby attest and verify that I am physically fit and have sufficiently trained for this event. If requested, I agree to provide with my registration form a signed doctor's certificate attesting to my physical fitness to participate in event.
I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident and/or illness during the event.
I hereby agree that if I wish to withdraw from participating in the event after I have registered and paid the entire cost, I must give forty-eight (48) hours notice to Oannes Swims to be eligible for a refund of 20% of the entire cost. There will be no refund or credits without notice to Oannes Swims.
I hereby agree that if I wish to withdraw from participation in the event after the event has begun there will be no refund. I understand that I cannot receive credit for registered sessions that I cannot/have not attended.
I hereby agree if Oannes Swims, Kelvin Landolt, the Coaching Staff, the event facility staff or life guards ask me to exit the water, for any reason, I will do so with out discussion and exit the pool as soon as is possible.
I hereby agree that if Oannes Swims, Kelvin Landolt, the Coaching Staff, the event facility staff or life guards ask me to leave the event, I will do so as quickly as possible and without argument or question. I understand there will be no refund if I am asked to leave the event.

Yes	No
		I have read and understood the points in Section 2 of this Under Age Open Water Swimming waiver.
		By signing this waiver, I certify that I understand, that I cannot sue any person, instructor or coaches or those who act on behalf of the Oannes Swims organization or those who may have authority over the company, and no one else can sue on my behalf.
		I agree to abide by the points outlined in the waiver above.


Print full name	Sign name
Date

End of Oannes Swims - Open Water Swimming - Under Age Waiver - Section 2

These are some of the concerns, hazards and dangers associated with lake swimming:

Swimmers have been injured by objects in the water, both floating (logs, needles, garbage, etc), fixed (buoys, posts, columns, etc) and sharp object on the bottom (glass, cans, knifes, etc).
Swimmers have been attacked by water life (eels, water fowl, etc).
There is a danger of being injured or killed by a motor craft or other kinds of water crafts.
There may be health hazards associated with pollution in the Lake (water is tested, but results take 2 days to process).
Lake currents can be more powerful than the strongest swimmer, are unpredictable and have swept swimmers off course.
Lake waters are inherently COLD. Temperatures typically range between 50 and 61 degrees Fahrenheit and can change without notice.
Weather can change quickly and without notice. Some weather conditions are hazardous to swimmers (rough white capped waves, wind, lightening, etc).
Swift currents and cold water can precipitate drowning, heart attacks and hypothermia.
As swimmers often leave bags and/or equipment on the beach, while swimming, these objects are often stolen, destroyed or pissed on by dogs.

I understand and assume all risks & liability associated with swimming in Lake Ontario.

Express assumption of risk & release of liability to Oannes Swims:
On behalf of my heirs, assignees, personal representative, and next of kin, I hereby release and hold harmless Oannes Swims Organization, its officers, members, officials, agents and employees and other participants, with respect to all injury, disability, death, or loss, injury or damage to me or my property, whether arising from the negligence of the Oannes Swims, its members or officers, or otherwise.

Yes	No
		I have read and understood the points listed in Section 3 of this Under Age Open Water Swimming waiver.
		By signing this waiver, I certify that I understand, that I cannot sue any person, instructor or coaches or those who act on behalf of the Oannes Swims organization or those who may have authority over the company, and no one else can sue on my behalf.


Print full name	Sign name
Date

End of Oannes Swims - Open Water Swimming - Under Age Waiver - Section 3

The following is information for an emergency contact person who is available during our sessions besides myself.


Print Full Name	Phone Number

Relationship

End of Oannes Swims - Open Water Swimming - Under Age Waiver - Section 4

Please check the appropriate box for each question and explain any questions that are answered with 'yes', as required.

Yes	No
		I have been informed by our doctor that my child has heart trouble? If yes, explain:

		My child does have experience pains in the heart and chest? If yes, explain:

		My Child does sometimes feel faint and/or have spells of severe dizziness? If yes, explain:

		I have been informed by our doctor that my child has high blood pressure? If yes, explain:

		I have been informed by our doctor that my child has a bone or joint problem, which can be aggravated or made worse with exercise? If yes, explain:

		My child is NOT accustom to vigorous exercise? If 'yes' explain:

		My child does NOT have any other physiological issue/reason that will prevent participation in a swimming activity program? If yes, explain:

		My child does NOT have any psychological or mental issues reason that will prevent participation in a swimming activity program? If yes, explain:

For any questions answered 'yes' above, the Client may be required to provide Oannes Swims with an explanation and/or physician’s letter advising that the client should/can engage in a swimming activity program.

Print full name	Sign name
Date

End of Oannes Swims - Open Water Swimming - Under Age Waiver - Section 5

6. Oannes Swims - Event Model Release

Please read and indicate your position on the following:

Oannes Swims may be taking photograph/digital images of the events for use in publications, advertising and articles, which your child may appear.

	I do not mind if my child's image is used.
	Do not use my child's image.

Oannes Swims may be taking video of the events for use in publications, advertising and articles, which your child may appear.

	I do not mind if my child's image is used.
	Do not use my child's image.

Print full name	Sign name
Date

End of Oannes Swims - Open Water Swimming - Under Age Waiver - Section 6

Click here to Print Form

Oannes Swims 2509-38 Elm Street Toronto, Ontario M5G 2K5 Canada
Ontario 416.598.2918 ext 202/ Outside Ontario 1.877.598.2918 ext 202/ Fax 416.598.1611 / info@oannesswims.com

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