Gypsy Swim School Waiver

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

    Participation at the Gypsy Divers Aquatic Center, 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 Gypsy Divers Aquatic Center, 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