Release and Indemnity Agreement

Important: This form is for parents who have already submitted a signup but need to complete the required release and indemnity agreement. If you haven't signed up yet, please use the regular signup form.

After you sign this waiver, we will automatically apply it to all your existing signups.

Parent Information

Use the same email address you used when signing up for lessons.

This will be used as your electronic signature.

RELEASE AND INDEMNITY AGREEMENT

PLEASE READ CAREFULLY BEFORE SIGNING. THIS IS A RELEASE OF LIABILITY AND WAIVER OF CERTAIN LEGAL RIGHTS.

ASSUMPTION OF RISK: I understand and acknowledge that participation in swimming lessons and related aquatic activities involves inherent risks, dangers, and hazards including but not limited to: drowning, slip and fall accidents, collisions with other participants or objects, equipment failure, inadequate supervision, and the negligence of other participants. I voluntarily assume all such risks and dangers associated with participation in swimming lessons.

RELEASE OF CLAIMS: In consideration for being permitted to participate in swimming lessons provided by Jennifer (JJ) Mendiola, I hereby release, waive, discharge, and covenant not to sue Jennifer (JJ) Mendiola, her employees, agents, representatives, and assigns (collectively "Released Parties") from any and all liability, claims, demands, actions, and causes of action whatsoever arising out of or related to any loss, damage, or injury, including death, that may be sustained by the participant while participating in swimming lessons or while on the premises where the activity is conducted.

INDEMNIFICATION: I agree to indemnify and hold harmless the Released Parties from any loss, liability, damage, or costs, including court costs and attorney fees, that they may incur due to participation in swimming lessons, whether caused by the negligence of the Released Parties or otherwise.

PREMISES LIABILITY: I understand that swimming lessons are conducted at the residential property owned by Jennifer (JJ) and Magahet (Gar) Mendiola, located at 853 Mirage Ct. Newbury Park, CA 91320 ("Premises"). I acknowledge that I and any family members, guests, or other individuals accompanying me to the Premises (whether or not participating in swimming lessons) do so at our own risk. I agree to release, waive, discharge, and covenant not to sue the Released Parties and the property owners from any and all liability, claims, demands, actions, and causes of action for any loss, damage, or injury (including death) that may occur on or about the Premises, including but not limited to injuries from slipping, falling, collisions, pool equipment, landscaping, structures, or any other hazards present on the property. This release applies to all persons accompanying me, regardless of their participation in swimming activities.

MEDICAL TREATMENT: I authorize the Released Parties to provide emergency medical treatment if necessary. I understand that the Released Parties assume no responsibility for any injury or damage which might arise out of or in connection with such authorized emergency medical treatment.

PHOTOGRAPHY/VIDEO CONSENT: I consent to the use of photographs and video recordings of the participant taken during swimming lessons for promotional and educational purposes by Jennifer (JJ) Mendiola.

PARENTAL/GUARDIAN AUTHORITY: I represent that I am the parent or legal guardian of the participant(s) listed in this registration and have the legal authority to enter into this agreement on their behalf. I agree that this release shall be binding upon the participant's heirs, executors, administrators, and assigns.

SEVERABILITY: If any provision of this agreement is held to be invalid or unenforceable, the remaining provisions shall continue to be valid and enforceable.

GOVERNING LAW: This agreement shall be governed by the laws of the State of California. Any legal action arising out of this agreement shall be brought in the courts of California.

I HAVE READ THIS RELEASE AND INDEMNITY AGREEMENT, FULLY UNDERSTAND ITS TERMS, AND UNDERSTAND THAT I AM GIVING UP SUBSTANTIAL RIGHTS INCLUDING MY RIGHT TO SUE. I ACKNOWLEDGE THAT I AM SIGNING THIS AGREEMENT FREELY AND VOLUNTARILY.

Electronic Signature: By checking all boxes above and clicking "Sign Agreement", you are providing your electronic signature and agreeing to all terms. This agreement will be automatically applied to all your existing signups.