DPOA SWIM PROGRAM WAIVER

I understand that the swim activities that ________________ is about to participate in can be a dangerous and hazardous activity and that injury can result from such participation.  I agree to accept and assume any and all risks of injury while participating in any swimming activities.  I also willingly and freely accept the risks that are obvious and necessary in such participation.

In consideration of using the facilities provided to me for these activities, I agree not to sue Dunewood, D.P.O.A., or any person organizing the activities or their employees and/or agents if I am hurt during these activities.  I accept full responsibility for any and all damages or injury to myself or injury or damage that I cause to others.  I further agree to hold harmless and defend and indemnify the organizers of these activities and its owners, agents and employees from all liability including claims of negligence or other breach of duty for property damage, injury or death to myself or to any other persons including family members that occur as a result of, or related to, my participation in the use of the facilities, premises, and/or equipment provided.

This agreement shall be governed by the laws of the State of New York and shall be litigated in the courts of the State of New York, which shall have the exclusive jurisdiction over every party in connection with any dispute, controversy, cause of action, lawsuit or any other claim.

I acknowledge that I have carefully read and completed this agreement and express assumption of the risk contract and I full understand its contents.

Name

Signature

(If Minor) Parent’s Signature