Training Waiver Each participant MUST fill out a waiver. If you have questions, please Text or Call 843-259-2250 (Download PDF Version) Please enable JavaScript in your browser to complete this form.Name of Participant *FirstLastPhone *Email *Address *Address Line 1City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeHealth DeclarationI declare that to the best of my knowledge I am not suffering from any medical disability such as Angina, Asthma, Diabetes, Epilepsy, Giddy Spells or any other Heart Condition and am fit to participate in the course or cruise. Furthermore, if I am experiencing dizziness, instability or lightheadedness, I understand that the movement of the boat may increase that effect. Guests are expected to act on the side of caution for their own safety.Covid ScreeningI have not been exposed to COVID within the last 10 days and I am currently experiencing no signs of COVID.Medical ConditionsFor the safety of our guests, some illnesses may preclude you from taking part. We must be aware of any relevant medical conditions prior to you joining the course or cruise. We reserve the right to cancel your reservation if your condition prevents participation or is of a contagious nature.Please state any illnesses / disabilities / medications received below ResponsibilitiesTo allow SaferBoater and its staff to offer instruction and recreational activities to the Undersigned in powerboat, sailing and related skills, the Undersigned hereby agrees to be responsible for any losses, injuries, or damages sustained by the Undersigned or any other person or the property of the Undersigned, which may occur while the Undersigned is receiving such instruction from the SaferBoater and its employees/contractors. Furthermore, the Undersigned agrees to indemnify, save and hold harmless SaferBoater, and its employees from damages to persons or property resulting from any act or omission of the Undersigned or any other person.To my knowledge I am in good physical and emotional health equivalent to the demands of this outing and I have Read, Understand, and Agree with the RESPONSIBILITIES section above and set forth herein.Acknowledgment *I AgreePhoto Release AuthorizationPhoto Release Authorization *I Understand and AgreeBy executing this waiver, I authorize SaferBoater to use any photos or videos captured during training in all media and promotional materials.Emergency Contact InformationEmergency Contact Name *Contact Phone *Relationship * Signature of Participant or Guardian of Minor * Clear Signature SignedBy *I am Signing for MyselfI am Signing for a MinorFull Name of Signer *Participants Date of Birth *Stay Informed with SaferBoaterBe the FIRST to receive Course Reminders, Updates, Videos & Free Stuff !!!Yes, Keep Me InformedNo ThanksYou will also be notified about Insurance Offerings, Industry Specials, Discounted Boating Goods and Services & More ...Submit Waiver