Blue Ridge Swim Club Guest Waiver

Full Name *

First

Last

Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Child 1

First

Last

Date of Birth

Child 2

First

Last

Date of Birth

Child 3

First

Last

Date of Birth

Phone *

Full Birth Email

Release Terms & Conditions *

I have read and agree to the terms and conditions below.

I agree and assume for myself and my child all of the risks involved and hereby agree not to sue, to hold harmless and release Blue Ridg eSwim Club, its owners, agents, and employees, from any and all claims which may arise as a result of the sue of the pool and grounds. I further agree to indemnify and defend Blue Ridge Swim Club, its owners, agents, and employees from any claim, in any way related to my use of the pool and grounds or a guest whom I allow in violation of the rules set forth below. I have read and agree to abide by all the rules listed below including the rules relating to my guests at the club.

Signature *

Clear Signature