tma warning acknowlegement

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  • 8/6/2019 TMA Warning Acknowlegement

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    WARNING ACKNOWLEDGMENT / ASSUMPTION OF RISK

    AND RELEASE FORM

    1. WARNING: This activity including but not limited to SCUBA Diving or Snorkeling in or outside a cageamong SHARKS and other CREATURES of the sea is inherently dangerous and can result in serious injury ordeath. THE MARITIME AQUARIUM AT NORWALK, INC hereby disclaims all liability associated with yourparticipation in this activity. Only those individuals who are in good health, physically fit, experts in SCUBAdiving and who are actively and regularly engaged in SCUBA diving should consider engaging in this activity.The use of a cage does not minimize or eliminate this risk of serious personal injury and/or death.

    2. RELEASE OF LIABILITY : The undersigned, being an adult and possessing the necessary health, fitness,experience, expertise and training to engage in this activity, in consideration of being permitted to participate inthe diving expedition hereby gives up and releases all rights and claims which I or my heirs, executors,administrators and assigns may have to make a claim against or sure THE MARITIME AQUARIUM ATNORWALK, INC or its agents, servants, employees, their assigns or anyone else for any reason, includingpersonal injury, property damage or wrongful death, which I might suffer as a result of engaging in this activityincluding but not limited to SCUBA diving. This means that if anything goes wrong or if I suffer any injury of any kind or any damage to property or any kind that neither I nor anyone acting on my behalf or on behalf of myhers or estate can make a claim against, sue, or recover any money from THE MARITIME AQUARIUM ATNORWALK, or its officers, directors, agents, dive leaders, instructors, captains, servants, employees ormembers in general because of my participation in this activity and related activities.

    3. ACKNOWLEDGMENT AND ASSUMPTION OF RISK: I acknowledge that I have been informed that arisk of injury and death exists and I alone assume this risk of participating in this three-dimensional sport of SCUBA diving, snorkeling or swimming among SHARKS and other CREATURES of the sea. I acknowledgethat I have read this document in its entirety and have been fully and completely advised of the potential dangersof engaging in this activity and that I am not relying on any statements, written or oral, or promises of any kindmade to me by anyone, including but not limited to THE MARITIME AQUARIUM AT NORWALK, INC andits agents, servants, and employees about any matter or anything in deciding to engage in this activity and toexecute this document.

    4. The undersigned hereby agrees to follow the rules and regulations of THE MARITIME AQUARIUM ATNORWALK, INC which are part of this agreement. This document applies to all and any further activities in theaquarium.

    _______________________________________ _____________________________________NAME SIGNATURE DATE

    _______________________________________ _____________________________________NAME PRINTED CERTIFICATION