SHBR Masters Swim Sign Up and Waiver
This form is for non-members who are interested in joining the SHBR Masters Swim Program. Members should login to eSoft to schedule: https://www.esoftplanner.com/v3/planner/login.php?access=0dG81LSVxNmo65bIxGiCx5mJqA==.

This program is designed for swimmers over 18.

Please contact shbr.swim.coach@gmail.com if you have any questions.
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Please enter your full name (First Last). *
Please enter your email address. *
Please enter a phone number we can use to reach you. *
I understand that this is offered on a first-come, first-served basis. *
Waiver/Disclosure
Please carefully review and sign the waiver below.
As an adult swimmer, I agree to participate in all activities of the Sleepy Hollow Bath & Racquet (SHBR) Masters Swim Program (Masters). I represent and warrant that I am in good health and have no physical condition, ailment or disability which renders me unable to participate in vigorous physical activity. For and in consideration of benefits derived from participation in Masters, I understand that the risk of injury from the activities involved in these programs is significant, including the potential for permanent disability and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist. I assume all risks and hazards arising out of, or related to, such participation, including, but not limited to, transportation to and from such activities, and do hereby indemnify, release and hold harmless SHBR, its coaches, team representatives, volunteers, property manager, employees and agents from all claims of any kind whatsoever which may arise or hereafter accrue in connection with my participation in Masters activities. I further grant permission for first aid to be given to me in an emergency and will be solely responsible for any medical costs which may arise. ****************************************************************************** By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I, and those I name below, may be exposed to or infected by COVID-19 by entering SHBR and by using the facilities, pool and related equipment and apparatus therein, and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at SHBR may result from the actions, omissions, or negligence of myself and others, including, but not limited to, SHBR employees, coaches, representatives, contractors, officers, managers, and anyone else who may be at or near the SHBR facility when I am there (including other members and participants and customers of SHBR, and others who may be present at the SHBR facility while I am there).I voluntarily agree to assume all of the above-mentioned risks and accept sole responsibility for any injury to myself and others who accompany me to the SHBR facility (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or those accompanying me may experience or incur in connection with being present at SHBR (herein “Claims”).On my behalf, and those accompanying me, I hereby release, covenant not to sue, discharge, and hold harmless SHBR, its employees, coaches, representatives, contractors, officers, managers, and anyone else who may be at or near the SHBR facility when I am there, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims related to a COVID-19 infection, whether such infection occurs before, during, or after appearing at SHBR. Furthermore, I agree to follow the rules and guidelines established by SHBR, the Aquatics Director, and the coaches, including, but not limited to:*All swimmers will be verbally screened daily, as required by the State of Virginia, before being allowed inside the gates for practice.*No spectators will be allowed inside the gates of SHBR during Masters.*All coaches and swimmers must maintain at least 10 feet of physical distancing between each other at all times, except as consistent with social distancing practice layouts recommended by USA Swimming or the State of Virginia.*Showers and changing rooms at SHBR will be closed and bathrooms will only be available in case of emergency.*All swimmers are expected to arrive at their appointed time and immediately depart thereafter, as directed by SHBR staff and coaches. Practice times cannot be extended for late arrivals. *SHBR will provide credit or refund if a class is canceled due to adverse weather or other extenuating circumstance that would make holding the session unsafe or untenable.*Swimmers will not be allowed to stay on property if they are not in active practice.*Failure to adhere to the rules can result in swimmers being suspended from future sessions.
Please enter your full name below to accept this waiver/disclosure. *
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