2024 Summer Waterskiing Registration

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Please complete the following form to participate in one of our waterskiing events. This form is to be completed at the start of the season and updated when information changes. Please contact the office at lofskiers@gmail.com or call 203-426-0666 with any questions.

Email *

Participant's First Name *

Participant's Last Name *

Date of Birth *

YYYY

Gender (This information is collected to be used for demographic data only) *

Female

Male

Prefer not to say

Non binary

Prefer to self describe

Are you active military, retired, veteran, or reserves? *

Yes

Weight (approximate) *

Height *

What is the participant's primary disability? *

Please list any and all limitations that may prevent the participant from partaking in a conventional water ski program.

Full Mailing Address. Please include zip code *

Phone number *

Emergency Contact Person *

Be sure to include the contact's name and relationship to the participant

Emergency Contact Phone # *

Participant's primary physician and contact information. *

Please include physician's name and phone number.

Athlete's Authorization/Release of Liability. I know of no reason why my participation in these or any sporting events provided should be exceptionally or unusually hazardous. I have full considered the risk that I may be physically injured as I prepare and participate in these events and I assume such risk. I intend this to be a complete release and discharge of all persons as well as any corporate entities having anything to do with this event and I intend hereby to release and forever discharge said persons from all liability whatsoever. I have read all of the statements contained herein and I fully realize that I am signing complete release and bar to any further claims which I may have resulting from my participation in these events. *

Electronic Signature (you agree your electronic signature is the legal equivalent of your manual signature)

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