Waiver AND RELEASE of Liability

To participate with water activates please fill out the following waiver and release of liability form

First Name

Email Address

Last Name

Date of Birth

Do you any medical conditions that might stop you from participating in intense physical activities?

Yes

Initials

Today's Date

I agree to the terms of the Waiver and Release of liability policy found at the link below (View terms of use). I hereby release for myself, my heirs, executors, administrators, assigns, or personal representatives knowingly and voluntarily enter into this WAIVER and RELASE OF LIAILITY and hereby waive any and all rights, claims or causes of action of any kind arising out of my participation in the activity; and I HEREBY release and forever discharge Cove Cay Charters located at 2519 N McMullen booth rd., Clearwater, FL 33761 Its Captains including but not limited to Jeremy Ritchea, their Affiliates including but not limited to Cove Cay Marina, New Hotel Collection, Arcadia Resorts, Harbourside Resort, Beachside Resort, The Cordova Inn, its managers, members, agents, attorneys, staff, volunteers, heirs, representatives, predecessors, successors, the individual boat owners and assigns (collectively "Releases"), from any physical or psychological injury that I may suffer as a direct result of my participation in the aforementioned Activity. If I added in minors to this form I certify that I am the parent or legal guardian of those children and take full responsibility legally and finicallyView terms of use

Photograph and Publicity Release Policy I give the Cove Cay Charters and its Captains including but not limited to Capt. Jeremy Ritchea, permission to use my name, likeness, image, voice, and/or appearance as such may be embodied in any pictures, photos, video recordings, audiotapes, digital images, and the like, taken or made on behalf of the Cove Cay Charters activities. I agree that the Cove Cay Charters and its Captains have complete ownership of such pictures, etc., including the entire copyright, and may use them for any purpose consistent with Cove Cay Charters activates. These uses include, but are not limited to illustrations, bulletins, exhibitions, videotapes, reprints, reproductions, publications, advertisements, and any promotional or educational materials in any medium now known or later developed, including the Internet. I acknowledge that I will not receive any compensation, etc for the use of such pictures, etc., and hereby release Cove Cay Charters and its agents, Captains and assigns from any and all claims which arise out of or are in any way connected with such use.

We try our best to make sure that charters leave and return on time, but sometimes things happen that are out of our control like weather, emergencies, mechanical failure, etc. We cannot be hold responsible for returning late causing you inconvenience or an expense because of a missed appointment, flight, etc regardless of the reason we returned late or departed late.

This waivers is good for 12 months from the date above

Upload File Driver's License or Selfie

Your Signature

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