top of page
Swimming Pool

Swim Lesson Liability Waiver

LIABILITY WAIVER AND RELEASE

I, the undersigned, as the participant or parent/legal guardian of the minor child named above (the "Participant"), hereby acknowledge and agree to the following in consideration for swim lessons provided by NSB Swims with Cheri Allison (“Instructor”):


1. Acknowledgment of Risk:

I understand and acknowledge that participation in swim lessons involves inherent risks, including but not limited to drowning, slips, falls, injuries from contact with pool surfaces, and other potential hazards related to water activities. I voluntarily assume all risks, known and unknown, associated with participation in swim lessons.


2. Release of Liability:

I hereby release, waive, discharge, and covenant not to sue NSB Swims with Cheri Allison, Cheri Allison individually, her agents, contractors, volunteers, or affiliates from any and all claims, liabilities, demands, actions, or causes of action arising out of or related to any loss, damage, injury, illness, or death that may be sustained by the Participant while participating in swim lessons or using any facilities.


3. Medical Treatment Authorization:

In the event of a medical emergency, I authorize Cheri Allison or any representative of NSB Swims with Cheri Allison to seek emergency medical treatment for the Participant, and I agree to be financially responsible for any resulting medical expenses.


4. Supervision & Responsibility:

I agree that I am responsible for the supervision of my child before and after the scheduled lesson time and understand that the instructor is not responsible for the child outside the scope of the swim lesson.


5. Photo/Video Release:

I grant permission for NSB Swims with Cheri Allison to take photographs or videos of the participant for use in promotional or educational materials, social media, or the business website.

Water

Swim Lesson Health Questionnaire

Please complete the following health questionnaire to help us better understand your child’s needs and ensure a safe experience.

Child's Birthday
Month
Day
Year
Date of Last Pediatric Check-Up
Month
Day
Year

TIKI COVE AT VENETIAN BAY

Pool Liability Waiver & Release

424 Luna Bella Ln – Tiki Cove. New Smyrna Beach, FL 32168

1. Assumption of Risk

I understand that swimming and related activities involve inherent risks—including drowning, slips, falls, waterborne illness, sun exposure, and other injuries. I voluntarily choose to use the pool and amenities at Tiki Cove at Venetian Bay and accept full responsibility for my safety and the safety of my household members and guests.

2. Membership & Duration

This waiver covers all visits by me, my household members, and any guests I bring. I understand guest privileges are contingent on my responsible sponsorship and rule compliance.

3. Release of Liability & Indemnification

I, on behalf of myself, my household, heirs, executors, and assigns, release and discharge Tiki Cove at Venetian Bay, its owners, officers, employees, volunteers, agents, and representatives from any and all claims for injury, death, property damage, or loss resulting from pool use, whether due to negligence or otherwise, to the fullest extent allowed by Florida law. I also agree to indemnify and hold harmless the foregoing parties from any loss, liability, damage, or costs incurred arising from my or my guests’ use of the pool or violation of pool rules.

4. Health & Conduct

• All swimmers in my household are capable swimmers or will be adequately supervised.

• We will not enter the pool area if ill, contagious, or under the influence of alcohol or drugs.

• We will comply with all posted pool rules (see Section 6) and follow staff instructions.

5. Supervision of Minors

Children under age 14 must be under the direct supervision of an adult member at all times. Lifeguards (if present) are not babysitters. Primary supervision is my responsibility.

6. Pool Rules

By signing this waiver, I agree to abide by the following Tiki Cove at Venetian Bay Pool Rules at all times:

1. Shower before entering.

2. No food or beverages in the pool or on the pool wet deck.

3. No glass or animals in the fenced pool area.

4. Do not swallow the pool water.

5. Bathing load: 79 persons maximum.

6. Pool hours: 9:00 AM to sundown.

7. No Smoking on Premises.

7. Rules & Privilege Enforcement

Violations of pool rules, unsafe behavior, or failure to follow staff direction may result in suspension or revocation of pool privileges without refund.

8. Photo/Video Release (Optional)


Please Select

9. Severability

If any provision is invalid, the remaining provisions remain fully effective.

Acknowledgment

By signing below, I acknowledge reading, understanding, and voluntarily agreeing to this Pool Liability Waiver & Release and all Pool Rules listed above.

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.
Date
Month
Day
Year
Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.
bottom of page