Guest Waiver Form

  • The undersigned user hereby executes this Agreement for himself/herself and any minors, guests and invitees under their control and supervision.
    I am aware of the inherent risks associated with use of the Virginia Vale swimming pool and grounds and hereby assume full responsibility for any and all such risks.
    In consideration of being permitted to use the Virginia Vale swimming pool and grounds, I hereby waive, release and forever discharge and hold harmless Virginia Vale Swim Club, its directors, employees, volunteers and other agents from all liability, demands, claims for damages, injuries and loss to person or property, which may be sustained or occur during use of the Virginia Vale swimming pool or grounds, whether or not such damage or loss is due to negligence.
    I hereby give my permission for any manager or employee associated with Virginia Vale Swim Club to seek and give appropriate medical attention in the event of accident, injury or illness. I will be financially responsible for any and all costs associated with any necessary medical attention and/or treatment.
    The terms of this Agreement are agreed to and accepted by:

  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY