Release and Waiver of Liability and Indemnity Agreement

(Read Carefully Before Signing)

In consideration of being permitted to participate in any way in the Florida Surfing Association Surfer Girl Surf Camp

Program indicated below and/or being permitted to enter for any purpose any restricted area (here in defined as any area where in

admittance to the general public is prohibited), the parent(s) and/or legal guardian(s) of the minor participant named below agree:

1. The parent(s) and/or legal guardian(s) will instruct the minor participant that prior to participating in the below

Florida Surfing Association Surfer Girl Surf Camp  activity or event, he or she should inspect the facilities and equipment to be

used, and if he or she believes anything is unsafe, the participant should immediately advise the officials of such condition and refuse to

participate. I understand and agreed that, if at any time, I feel anything to be UNSAFE; I will immediately take all precautions to avoid

the unsafe area and REFUSE TO PARTICIPATE further.

2. I/WE fully understands and acknowledges that:

(a) There are risks and dangers associated with participation in Florida Surfing Association Surfer Girl Surf Camp events

and activities, which could result in bodily injury partial and/or total disability, paralysis and death.

(b) The social and economic losses and/or damages, which could result from these risks and dangers described above, could be

severe.

(c) These risks and dangers may be caused by the action, inaction or negligence of the participant or the action, inaction or

negligence of others, including, but not limited to, the Releases named below.

(d) There may be other risks not known or are not reasonably foreseeable at his time.

3. I/WE accept and assume such risks and responsibility for the losses and/or damages following such injury, disability, paralysis or

death, however caused and whether caused in whole or in part by the negligence of the Releases named below.

4. I/WE HEREBY RELEASE, WAIVE, DISCHARGE AND COVENANT NOT TO SUE the Florida Surfing Association Surfer Girl Surf Camp

facility used by the participant, including its owners, managers, promoters, lessees of premises used to conduct the

Florida Surfing Association Surfer Girl Surf Camp event or program, premises and event inspectors, underwriters, consultants and others who

give recommendations, directions, or instructions to engage in risk evaluation or loss control activities regarding the

Florida Surfing Association Surfer Girl Surf Camp facility or events held at such facility and each of them, their directors, officers, agents,

employees, the City of Jacksonville Beach, the State of Florida, any and all sponsors or others officially associated with the Florida Surfing Association Surfer Girl Surf Camp, all for the purposes herein referred to as “Releasee”...FROM ALL LIABILITY TO THE UNDERSIGNED, my/our personal representatives, assigns, executors, heirs and next to kin FOR ANY AND ALL CLAIMS, DEMANDS, LOSSES OR DAMAGES AND ANY CLAIMS OR DEMANDS THEREFORE ON ACCOUNT OF ANY INJURY, INCLUDING BUT NOT LIMITED TO THE DEATH OF THE PARTICIPANT OR DAMAGE TO PROPERTY, ARISING OUT OF OR RELATING TO THE EVENT(S) CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE RELEASEE OR OTHERWISE.

5. I/WE HEREBY acknowledges that THE ACTIVITIES OF THE EVENT (S) ARE VERY DANGEROUS and involve the risk of serious injury

and/or death and/or property damage. Each of THE UNDERSIGNED also expressly acknowledges that INJURIES RECEIVED MAY BE

COMPOUNDED OR INCREASED BY NEGLIGENT RESCUE OPERATIONS OR PROCEDURES OF THE RELEASEES.

6. EACH OF THE UNDERSIGNED further expressly agrees that the foregoing release, waiver, and indemnity agreement is intended to be

as broad and inclusive as is permitted by the law of the Province or State in which the event is conducted and that if any portion is held

invalid, it is agreed that the balance shall, notwithstanding continue in full legal force and effect.

7. On behalf of the participant and individually, the undersigned partner(s) and/or legal guardian(s) for the minor participant execute

this Waiver and Release. If, despite this release, the participant makes a claim against any of the Releases, the parent(s) and/or legal

guardian(s) will reimburse the Releasee for any money, which they have paid to the participant, or on his behalf, and hold them

harmless.

I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT, FULLY

UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT

FREELY AND VOLUNTARILY WITHOUT ANY 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.

Event Florida Surfing Association Surfer Girl Surf Camp

Parent or Guardian Signature (if minor) ___________________________________________________________________________

Parent or Guardian Signature (if minor) ___________________________________________________________________________

Printed Name of Participant ______________________________________________________________________________________

Address of Participant ____________________________________________________________________________________________

                                     ____________________________________________________________________________________________

Email of participant   _________________________________________

Telephone Number __________________________________________

Received by ______________________________________________________________________________________________________

Registrar Signature Printed Name Member # Region on File Date

All information is private and confidential and is used strictly by the Florida Surfing Association and its agents, staff, or employees.

RELEASE 2

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JACKSONVILLE BEACH RELEASE