Splashes n Smiles Swimming Waiver/Release of Liability I, the undersigned, as the parent or legal guardian of __________________________________, agree and understand

that swimming is a hazardous activity. I recognize that there are risks inherent in the sport of swimming, including, but not limited to, paralyzing injuries and death. I hereby agree to indemnify and hold harmless Splashes n Smiles Swimming, its instructors (Kathlina Roat, Oliver Shimp, Mila Kaut), employees, pool owners, and insurers against any liability resulting from any injury, illness or death that may result from, among other causes, the active or passive negligence of Splashes n Smiles Swimming, its managers, employees, pool owners, and/or insurers, including, without limitation, negligent instruction, negligent supervision, negligent rescue operations, dangerous or defective equipment or property used by Splashes n Smiles Swimming, or because of liability without fault, even if caused by the actions or omissions of others. I am knowingly and voluntarily engaging in, and hereby permit the participant(s) to engage in, the activities conducted by Splashes n Smiles Swimming with knowledge of such risks, and, for myself and on behalf of the participant(s), hereby assume any and all known and unknown risks of injury, illness or death that may occur in connection with any and all Splashes n Smiles activities. Participation in activities conducted by Splashes n Smiles Swimming is completely voluntary, and I elect to participate, and have the participant(s) participate, in spite of the risks. I agree this release constitutes a complete release, discharge and waiver of any and all actions or causes of action against the released parties, arising in connection with any and all activities in which I or the participant(s) participate while participating in activities conducted by Splashes n Smiles Swimming or my or the participant(s) use of facilities utilized by Splashes n Smiles Swimming. Splashes n Smiles Swimming assumes no responsibility for any personal property placed in or about the facility. I authorize any representative of Splashes n Smiles Swimming to have the participant treated in any medical emergency due to their participation in the Splashes n Smiles swim lessons. Further, the participant and/or parent/guardian agrees to pay all costs associated with medical care and transportation for the participant. Parent/Legal Guardian Signature: _____________________________________ Print Parent/Legal Guardian Name: _____________________________________ Date: _______________________ Emergency Contact: __________________________________________