E6881 N Dewey Ave
Reedsburg, WI 53959
RELEASE OF LIABILITY FOR SWIM REEDSBURG, LLC
Participating at Swim Reedsburg, LLC means that you will be exposed to activities that present some degree of risk. While Swim Reedsburg, LLC staff and volunteers make every effort to ensure the safety of all participants, we cannot guarantee that accidents will not happen. All participants should be aware of the possibility of injuries and accidents while participating at Swim Reedsburg, LLC and in any and all Swim Reedsburg, LLC activities and be willing to assume the risk and responsibility associated with the activities, even if the injury is caused by negligent acts or omissions attributable to Swim Reedsburg, LLC. Participants should carry adequate health insurance in case of injury requiring medical treatment.
I hereby acknowledge the inherent risks involved in participating in Swim Reedsburg, LLC activities and events. I realize that those risks include, but are not limited to, muscle, tendon, and ligament strains and sprains, broken bones, cardiac risk from heart attack or stroke, pulmonary risk, heat stroke, dehydration, and risk of trauma as a result of falling or running into objects, together with other risks and dangers associated with swimming and physical activities.
I voluntarily assume all risks with full knowledge and appreciation of the dangers and risks involved. I voluntarily assume all risk of personal injury that may occur while I am participating in Swim Reedsburg, LLC, whether or not under the direct supervision of its organizers or volunteers.
I hereby knowingly and intentionally waive and release any and all claims or causes of action which
might arise from my participation.
I certify that I am in good health and have no known physical limitations that would affect my
participation. I understand that the sponsor has not evaluated my physical condition
and makes no representations as to whether participating in this event may be hazardous to my health.
This release shall be effective and binding upon me and upon my assigns, heirs, representatives,
guardians and administrators. If I am signing as parent/guardian of the participant, I agree to
waive any and all claims. I sign it of my own free will.
I authorize my name, likeness, biography and performance may be used for publicizing and promoting such broadcasts and other uses of the program. I have read and fully understand this form. I have received my physician's approval to participate in this program (s).