MBRC Safety Manual Acknowledgement

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This form is your acknowledgment that you have read and understand the MBRC Safety Manual and that you will abide by the guidelines.

YOU are responsible for your own safety.

Email *

By choosing YES, I acknowledge that....

I have read and understand the MBRC Safety Manual.

I can swim, or I have notified the head coach that I am not a proficient swimmer.

I have notified the head coach about any medical conditions that may be pertinent.

I pledge to:

Dress appropriately for the weather.

Dress for visibility.

Follow the safety procedures outlined in the safety manual.

Be responsible for my own safety.

Sign in and out on the google sheet and whiteboard.

Report all incidents using the club incident form.

YES

Please provide the name and phone number of your emergency contact. *

Your first and last name serves as your signature. *

This is for a junior member named.....

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