BAYSHORE GARDENS PARK AND RECREATION DISTRICT	       FOB #_________
SWIM TEAM WAIVERS							  1010 STW

RELEASE/ENROLLMENT FORM FOR _______ SEASON MUST BE AGES 6 TO 17
Parent Name: _________________________________________	Participant ____________________________________	
Address: 	Phone: 	
Parents E-Mail: 	Mobil: 	 
Swimmers E-Mail: 	Mobil: 	 
Swimmers School: 	Grade/age 6 TO 17: 	_ 
WAIVER: READ CAREFULLY BEFORE SIGNING
I, as guardian or parent of the above mentioned swimmer, herby acknowledge that the above mentioned 
swimmer(s) has (have) permission to participate in all the activities of Bayshore Gardens Swim Team, 
(hereinafter BGRD) and have adequate personal insurance on the above mentioned swimmer(s) to cover 
any injury or liability resulting from any BGRD Swim LESSON event I activity.  

You, on behalf of yourself, your family, and those authorized by you are given permission to use the Bayshore Gardens Park and Recreation District Pool Facilities in exchange for permission to use the pool facilities, you agree and contract on behalf of yourself, your family, and those you are authorizing to use the facilities, along with their respective heirs, successors, and assigns to release , indemnify, defend, and hold harmless the Bayshore Gardens Park and Recreation District , along with its official, employees, officers, volunteers, and agent for any and all damages, claims, losses, suits, causes of action, liabilities, judgments, costs, and expenses including attorney fees arising out of or related to use of the pool facilities.

The Bayshore Gardens Park and Recreation District is an Independent Park and Recreation District and subdivision of the State of Florida. It enjoys sovereign immunity pursuant to Section 768.28 Florida Statutes and the execution of this form is not a waiver of such liability, moreover, the District’s liability, if any, is limited to the amount specified in section 768.28, Florida Statutes that arises out of Tort, contract or otherwise.

You acknowledge that the activities either you or your family, and those authorized by engaging in are potentially dangerous activities. You are additionally acknowledging on behalf of yourself, your family, and those authorized by to use the pool facilities that, even if Bayshore Gardens Park and recreation District uses reasonable care in providing the activity, there is a chance of serious injury or death resulting from participating in these activities because there are certain dangers inherent in the activity which cannot be avoided or eliminated.
I, as the guardian or parent of the above mentioned swimmer(s), Student or Parent Volunteer have read 
and VOLUNTARILY SIGNED this release and waiver of liability with the express acknowledgement and 
agreement that the above mentioned swimmer(s). Student or Parent Volunteer is engaging in dangerous 
activities which involve the risk of serious injury and/or death. This includes all swim events I activities
     Parent/Guardian of Swimmer(s) __________________________________________________________
	Parent/Guardian of Swimmer(s)	
Swimmers and Familv/ Guest list on back of this form 

APPROVED__3/19/19_Sharon Denson
REVISED_____________
EFFECTIVE__3/19/19_