If paying by cheque:
Payment to: London Silver Dolphins
Mail or deliver to: D. Spencer
64 Bloomfield Drive,
WAIVER (RELEASE AND INDEMNITY AGREEMENT)
READ VERY CAREFULLY BEFORE SIGNING
I, the undersigned participant intending to be legally bound, hereby certify that I am physically fit and have not been otherwise informed by a physician. I acknowledge that I am aware of all the risks inherent in Masters Swimming (training and competition) including possible permanent disability or death, and agree to assume all of those risks. I hereby waive any and all rights to claim for loss or damage arising out of my participation in the Masters Swimming program or any activities incidental thereto against the London Silver Dolphins, the Corporation of the City of London, Swim Ontario, Masters Swimming Ontario, host facilities, meet sponsors, meet committees or any individual officiating at the meets or supervising or coaching such activity as a condition of my participation in Masters Swimming.
In consideration of the London Silver Dolphins accepting this application, I hereby release and agree to hold harmless and indemnify the directors, officers, coaches and members of the London Silver Dolphins from all claims, actions or damages without any limitations whatsoever, whether consisting of personal injury or property damage that may result in any way while attending practices or meets whether such injuries are caused by their negligence or not, assuming myself any and all responsibility and liability for same.
I acknowledge and agree that this waiver (Release and Indemnity Agreement) is binding on myself and upon my heirs, administrators, executors and assigns and I herewith again reaffirm my free and willing intent to exercise it.
I have read and understood all the above.
Check this box to digitally sign the waiver