SATUIT BOAT CLUB

Junior Sailing Program 2005 – Permission

 

______________________________

Name of Sailor

 

PERMISSION AND INDEMNITY

 

I give permission for my child, named above, to participate in any and all Satuit Boat Club Junior Sailing Program activities.  I understand that the activities may include swimming, sailing, team sports, automobile travel and other activities, which create some risk of injury.

 

In consideration of the opportunity for my child to participate in the program, I, for myself and on behalf of my child, release the Satuit Boat Club, its members, employees, volunteers, trustees, and officers and the owners and operators of sailboats and other water craft, and the owners and lessees of land where program activities may occur, from liability for any personal injury, bodily injury, property damage, and loss of any kind (including attorney’s fees) occurring to my child in connection with my child’s participation in the sailing program.  I also agree to indemnify the same persons and organizations from all liability for any personal injury, bodily injury, property damage, and loss of any kind (including lawyer’s fees) caused to or by my child.

 

Date_______________________                                           ________________________________________

                                                                                    Signature of Parent or Guardian

                                                                                     

                                                                                    _______________________________________

                                                                                    Printed Name of Parent or Guardian

 

PARENT AUTHORIZATION FOR EMERGENCY HOSPITALIZATION AND SURGERY

 

I give permission for such diagnostic, therapeutic and operative procedures to be performed by a duly licensed physician or surgeon as the said doctor shall have deemed necessary for my child, with the understanding that no operation will be performed except in extreme emergency without a reasonable effort on the part of the Satuit Boat Club to contact the responsible parent or guardian by telephone or other expedient means.

 

Date_______________________                                           ________________________________________

                                                                                    Signature of Parent or Guardian

 

                                                                                    ________________________________________

                                                                                    Printed Name of Parent or Guardian

 

 

 

PLEASE COMPLETE ONE FORM FOR EACH SAILOR