Gypsy Swim School Waiver

  • PLEASE READ THIS CAREFULLY, THIS IS A RELEASE OF LIABILITY AND WAIVER OF CERTAIN LEGAL RIGHTS.

    Participation at the Elite Gypsy Corporation, DBA The Gypsy Swim School, the student(s) and/or the parent/guardian of the student(s) recognize, agree, and understand that there is risk involved in participating in aquatic activities, including (but not limited to) injuries (paralyzing and otherwise) and death. I hereby authorize the Elite Gypsy Corporation, DBA The Gypsy Swim School, its owners and staff, to seek emergency medical treatment for the participant in the event they are not able to reach myself, a parent or guardian. Further, I will be responsible for the costs associated with this emergency treatment. I hereby declare below in the comment section any relevant physical/mental problems, restrictions, or conditions and/or declare the participant to be in good physical and mental health.

  • Parent/Guardian Information

  • Please list out your child(ren)'s names and date of birth. Use the + button on the right to add additional lines for more children.
    Child's NameDate of Birth