Nova Southeastern University Masters Swim Club, admits athletes/participants of any
race, color, and national or ethnic origin.
Release: In consideration of Nova Southeastern University (NSU) allowing me to
participate in the use of the NSU Aquatic Center and related programs, I/we hereby
release, indemnify, and hold harmless NSU, its officers, trustees, employees, and
agents from liability for personal injury, accident or illness (including death), and
property loss arising out of or resulting from my participation in or observation in
activities and classes, my use of facilities, premises, or equipment at the NSU
Aquatic Center.
Risk Acknowledgement/ Practice Conduct:
I am aware at practice; and the physical activities, flexibility, and aerobic exercise
associated with it, place unusual demands on the body. Due to the nature of sports
programs, I understand that participation in these activities could involve risk of physical
injury, and despite safety precautions, NSU cannot guarantee that an athlete/participant
will not be injured, as all risks cannot be prevented. Risks include but are not limited to:
slips/trips/falls; impact or collision with other swimmers/players, structures or sports
equipment/balls; exposure to outside environment; weather conditions; pool use and
slippery areas; chlorinated water; uneven surfaces; etc. Risks could include injuries
such as, but not limited to: strains/sprains, fractures, bruises, cuts/scrapes, punctures;
concussion; loss of consciousness; exhaustion; heat stroke; eye injuries; spinal injuries;
neck, face and head injuries; heart attack; sickness; and/or death.
I acknowledge that as a athlete/participant, I am physically capable of participating in
practice and related activities. I also acknowledge that I the athlete/participant
understands the importance of the following rules and regulations to minimize risks, and
agrees to obey all rules and instructions given by any coach employed or contracted by
NSU. Failure to comply could result in dismissal of participant from the team practice. I
also understand that I may be held responsible for any property damage costs due to
the misconduct of the above participant.
Medical Coverage & Emergency Treatment Release
I acknowledge that it is my responsibility to provide medical coverage, and/or provide
any payments for medical costs that may arise as a result of injuries related to practice
activities, including those costs that may exceed or be excluded from any applicable
United States Masters Swimming (USMS) accident insurance policy. I hereby consent
and give my permission that I as athlete/participant may be treated for emergency
medical care and first aide by a medical facility and/or practice personnel at their
discretion, and release them from liability for such decisions.
Assumption of Risks: I/We are aware of the potential risks and dangers of use of
the NSU Aquatic Center. Some of the activities are strenuous in nature using
various muscle groups, involving quick movements, sudden change of direction and
sustained physical activity which places stress on the cardiovascular system.
Specific risks vary from one activity to another and these risks are not limited to
minor injuries such as scratches, bruises, sprains, but to serious injuries such as
eye injuries, back injuries, concussions, and catastrophic injuries including paralysis
and death.
I understand and agree that with respect to involvement at the NSU Aquatic Center,
I/we assume all of the above mentioned risks and all risks inherent in the nature of
such activities, together with all risks resulting in (i) failure to follow NSU policies
relating to the NSU Aquatic Center, (ii) failure to follow instructions concerning use
of the NSU Aquatic Center, and (iii) acts or omissions of others participating in
activities at the NSU Aquatic Center.
Compliance with Policies: I/we agree to abide by all policies developed by NSU
Aquatics.
Failure to follow any such policies may result in a revocation of
participation. I/we agree that if any provision of this document is held to be invalid
or unenforceable by a court of competent jurisdiction, then the remaining portion
shall nevertheless continue in full force and effect to the maximum extent permitted
by law.
I/WE HAVE READ THIS DOCUMENT CAREFULLY, FULLY UNDERSTAND ITS
CONTENTS, KNOW THAT IT IS LEGALLY BINDING, ACKNOWLEDGE THAT THE
PERSON SIGNING IS OVER THE AGE OF 18, AND FURTHER ACKNOWLEDGE
THAT BY SIGNING BELOW I MAY RELEASE AND WAIVE CERTAIN LEGAL
RIGHTS THAT OTHERWISE MIGHT HAVE.
Name:_________________________________
Date:_______________
Signature:______________________________
Date:_______________