Liability Release-Read Carefully

 

I, by registering, myself or my child, or my ward in the named program on this registration form, understand the nature and risk associated with participation in this activity. I hereby grant my child, or my ward permission to participate. I am aware that the activity, equipment, and facilities may pose significant risk of injury. I am also aware that each participant is responsible for their own safety. I hereby grant for myself, my heirs executors, or administrators; waive and release any and all claims of damage we ever had, or now have, against the CHAOS Holdings LLC, it’s successors and assigns, employees, agents and representatives for any and all kinds of injury, including but not limited to personal and/ or property damage suffered by my child, or myself, while participating in the activity. In the event of a medical emergency, I consent to the participant’s treatment by a medical doctor and I agree to pay all costs associated with said treatment, including transportation to a medical facility. By registering myself or my child in any CHAOS Holdings LLC programs, agree to all publications of any photos taken of myself or my child at any program, event or facility of CHAOS Holdings LLC.

954-876-1631

©2019 by CHAOS Marine, LLC. Proudly created with Wix.com