AQUATIC ADVENTURES OHIO LLC
WAIVER OF CLAIMS, EXPRESS ASSUMPTION OF THE RISK,
RELEASE OF LIABILITY, AND INDEMNITY AGREEMENT AND PERMISSION TO USE PHOTOS
______= Participant’s name (printed) _______= Legal Guardian’s name and signature
[Please be aware: by signing this document you are making important promises and representations. This form is to be
used for all water-related recreational activities; including, but not limited to, swimming, swimming lessons, lap
swimming, water aerobics, and snorkeling, with or without a lifeguard present (“Water-Related Activities”) at 3940
Lyman Drive, Hilliard, Ohio (“Water Facility”).]
I, _____________________________, do hereby affirm and acknowledge the inherent hazards and risks associated
with Water-Related Activities. I fully understand that these risks can lead to severe injury and even death.
In consideration of permitting me to participate in Water-Related Activities conducted at Water Facility, and in full
recognition of the fact that this is a facility with NO LIFEGUARD ON DUTY in certain areas, I, for my personal
representatives, my heirs, next of kin, and myself do HEREBY:
Acknowledge that Water-Related Activities are potentially dangerous activities and involve the risk of serious
injury and/or death and/or property damage; and
EXPRESSLY ASSUME FULL RESPONSIBILITY FOR ANY RISK OF BODILY INJURY OR WRONGFUL
DEATH TO ME OR PROPERTY DAMAGE TO MY PROPERTY, now and forever, arising out of or related to
participation in said Water-Related Activities, whether foreseen or unforeseen.
I EXPRESSLY agree to INDEMNIFY and SAVE and HOLD HARMLESS the owners, employees, and contractors of
Water Facility from and loss, liability, damage or cost that they may incur, now and forever, arising out of, or related
to, participation by me in said activities, or any other related operations unless caused solely by the negligence of Water
I, ______________________________, hereby declare that I have read this Waiver of Claims, Release of Liability,
Express Assumption of Risk, and Indemnity Agreement and fully understand that I have given up substantial
rights by signing it. I am aware of its legal consequences, and have signed it freely and voluntarily without inducement,
assurance, or guarantee being made to me and intend my signature to be complete and unconditional release
of all liability to the greatest extent allowed by law. I hereby declare that I am of legal age and competent to sign
this Agreement or, if not, that my parent or guardian shall sign on my behalf and that my guardian or parent is in
complete understanding and concurrence with this Agreement.
I EXPRESSLY warrant that I am fully able to participate in Water-Related Activities, and that I have no health or
fitness or training deficits that would otherwise restrict my ability to participate.
I understand that there are inherent risks and nevertheless agree to participate.
I give permission to use, reprint, and produce any photographs or videos taken of me and/or my child and written
materials supplied by me and/or my child in the form of evaluations during any programs offered by Aquatic
Adventures Ohio LLC. I understand that such materials may be used by Aquatic Adventures Ohio LLC for its
marketing and training programs and for other legitimate purposes applicable to its business, including the posting of
such materials to its web page on the Internet. Aquatic Adventures Ohio LLC may make such use without fee, charge,
or compensation to me and/or my child.
Participant’s Name: _________________________ _________________________
Parent/Legal Guardian: _________________________ _________________________
Witness: ________________________ _________________________