Coney Island Brighton Beach Open Water Swimmers (“CIBBOWS”)

Open Water Youth Swim Clinic (“Swim”)


I, the parent and/or legal guardian of __________ (“my child”), intending to be legally bound, certify as follows: (i) I believe that my child is qualified to participate in the Swim, and (ii) I believe that my child is physically fit, and I have not been otherwise informed by a physician.  I am aware of the risks inherent in my child’s participation in open water swimming events (such as the Swim) and in training for same, including, without limitation, contagious diseases, permanent disability, and death, and agree to assume all of those risks.  AS A CONDITION OF MY CHILD’S PARTICIPATION IN THE SWIM AND ANY ACTIVITIES INCIDENT THERETO, I HEREBY WAIVE ANY AND ALL RIGHTS TO CLAIMS FOR LOSS OR DAMAGES TO MY CHILD’S PERSON OR PROPERTY, INCLUDING ALL CLAIMS FOR LOSS OR DAMAGES CAUSED BY NEGLIGENCE, ACTIVE OR PASSIVE, OF ANY OF THE FOLLOWING: CONEY ISLAND BRIGHTON BEACH OPEN WATER SWIMMERS, NYC PARKS AND RECREATION, THE CITY OF NEW YORK, ANY VOLUNTEER, ANY BOATER, AND ANY INDIVIDUAL OFFICIATING AT OR OTHERWISE SUPERVISING THE SWIM.

In addition, I agree to abide by and be governed by the rules of the Swim.  I acknowledge that each participant in the Swim under the age of 18 must, while participating in the Swim, either be part of a group accompanied by a supervising adult or be accompanied by a parent or legal guardian.  I acknowledge that CIBBOWS may take, use, and disseminate photographs and videos of me, my child, and of other participants, and I consent to such activities by CIBBOWS and hereby waive all rights to compensation in connection therewith. Finally, I again acknowledge that I am aware of the risks inherent in open water swimming and agree to assume all of those risks.