WEDGEWOOD DIVE CLUB
PERMISSION TO PATICIPATE AND WAIVER/RELEASE OF LIABILITY

I, the parent/guardian of participant/diver(s) listed below agree and understand that diving is a HAZARDOUS activity and that there are risks inherent in the sport of diving.   

The participant/ parent/guardian of participant hereby agrees that participant will participate in the SOUTH JERSEY DIVING ASSOCIATION (SJDA) dive program as a member of the Wedgewood Dive Team and hereby agrees to discharge and releases from liability for any and all injury or losses that may occur to the participant while participating in the dive program, including travel to and from training sessions or other activities: Wedgewood Swim Club and its officers, managers, agents, volunteers, employees and/or representatives; and Wedgewood Dive Team and its coaches, staff and volunteers. The participant also agrees to defend, indemnify and hold harmless Wedgewood Swim Club and its officers, managers, agents, volunteers, employees and Wedgewood Dive Team and its coaches, staff and volunteers from any and all claims, actions and suits, from and against any and all liabilities, judgments, losses, damages, costs, charges, reasonable attorneys fees, and other expenses of every nature and character incurred or arising from any claims, losses, demands, or cause of action involving participant, including negligence, omissions, or breaches of Wedgewood Swim Club or its
officers, managers, agents, volunteers, employees and/or representatives and Wedgewood Dive Team and its coaches, staff and/or volunteers.


The participant and/or his or her parent/guardian hereby authorize any representative of Wedgewood Swim Club to aid in or coordinate the medical and/or emergency treatment of participant in the event of a medical emergency during the participation in the SJDA dive program. Further, the participant and/or his or her parent/guardian agrees to not seek reimbursement from Wedgewood Swim Club for costs associated with any and all medical care or treatment as well as transportation associated with same. Further, the participant and/or his or her parent/guardian know of no physical impairment that would affect the above participant’s participation in the dive program. I have noted below any medical history or problems of which the staff should be aware.

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By clicking Submit, I accept and intend my Signature above to be legally binding and the equivalent of my handwritten signature.  

635 Centre Street
Haddonfield, NJ 08033

856-429-9700 (Phone is only available during club hours)

admin@wedgewoodswimclub.com

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