Topside Waiver

Please carefully read the following:I agree to participate in the National Safe Boating Council’s training course being run by Topside Boat Training LLC, or portion thereof. I understand that this program will have both classroom and on-the water sessions, and, like any program involving water, is inherently dangerous because of the possibility of immersion and even death. I also understand and am aware that each participant will be engaging in the training that involve risk of serious injury, which might result not only from their own actions, inactions or negligence but the actions, inactions or negligence of others or the conditions of the premises or of any equipment used. I agree to abide by the rules and regulations as set forth by the National Safe Boating Council (NSBC) and Topside Boat Training LLC. I agree to obey the instructor(s) and the supervisor(s) of the training. I promise to wear any safety equipment as required by an official of the NSBC and Topside Boat Training LLC such as, but not limited to personal flotation devices, non-slip footwear and appropriate clothing for the weather conditions. Prior to departing the ramp or dock, a pre-departure checklist and safety brief will be conducted to inspect the equipment to be used, and if anything is unsafe, they will immediately advise their instructor or supervisor of such conditions and refuse to participate until condition(s) is corrected. I certify that I am in reasonably good health and that I am able to participate in this activity without adversely affecting any health problems. I will notify the supervisor and instructor(s) of any condition that may affect any participation and of any medication which I am currently taking. Having read this waiver, I do hereby agree to release, waive, hold harmless, and discharge the NSBC and Topside Boat Training instructors, all sponsors, representatives and volunteers, any involved government organizations or other organizations and the boards, trustees, officers, employees, or volunteers of any of them, and if applicable, owners and leasers of premises used to conduct this event from any and all liabilities to the undersigned, his or her heirs and next of kin for any and all claims, demands, losses or damages or damage to property, caused or alleged to be caused in whole or part by the negligence of the persons, entities or otherwise.

Topside Waiver

First name

Last name

Date of Birth

Please specify anything we should know about prior to boat training.

Initials

I declare that the information I’ve provided is accurate & complete and that I have read and understand the waiver statement provided by Topside Boat Training LLC.

I hereby acknowledge this release from liability for accidental injury or illness which I may incur as a result of participating in any physical activity. I hereby assume all risks connected therewith and consent to participate in this program. I agree to disclose my physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in this program.

I agree to allow Topside Boat Training LLC and Saferboater.org to use my image in social media post.

Thanks for submitting!