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2017 Registration 

Please note:  All surf camps and lessons will be held on 28th street in Longport due to the dune project. 

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Staceyʼs Surf Camp LLC & SUP 2017
General Release of Rights and Liability Waiver
Assume Self- Responsibility Contract
I will read each section carefully and consent with my signature.

All forms of surfing, stand up paddle boarding, swimming & related activities are dangerous and can result in major or permanent injury, pain & suffering, and/or death. All of the potential & significant risks, dangers, & possible tragic or fatal results which may occur canʼt be expressed, I am currently now 100% ALCOHOL & DRUG free and have not used within the last 8 hours, nor will I in the future prior to associating with the Staceyʼs Surf camp LLC or Staceyʼs Paddle Place. I agree to return all equipment in the same condition and to pay for any lost, stolen, or damaged equipment. All surfing and video/Pictures are considered services rendered, are non refundable, shall be used for my “personal, non-commercial, non-profit” enjoyment and may be used by Staceyssurfcamp.com or various social medias for advertising purposes. I am not only signing as an individual, hereafter singularly referred to as: “I, me, my, mine ,myself: but also as the customer, student, observer, volunteer, surfer, swimmer, associate, or participant & also collectively, inclusively, on behalf of, and as the only legal representative of my : person, property, estate, heirs, beneficiaries, dependents ,children, relatives or spouse” if any.

Stacey Marchel, Staceyʼs Surf Camp LLC, Staceyʼs Paddle Place or any of itʼs employees, The City of Margate, The Margate Lifeguards or any persons or organizations used by the participant including itʼs owners,managers, board members, principals, counselors,investors, sponsors, promoters, advertisers, transporters, lessees of premises used to conduct the event or program,premises and event inspectors,consultants, surf instructors, camera/video man, “good Samaritans”and others who give recommendations,directions or any kind of instructions;including but not limited to all of their singular or collective: inabilities, failures,shortcomings,bad judgements, wrong decisions, mistakes, actions, errors or omissions and all forms of oversight & simple or gross negligence, all of which are intentionally & specifically included in this contract & shall now be referred to inclusively & collectively as the “Released Entities”.

I understand that an instructor will be pushing me or riding with me from behind and except this process and absolve the "Released Entities” from any claims of inappropriate physical or sexual contact, abuse or harassment. “I” Understand that there is NO insurance coverage for “Me”.

I accept that the “Released Entities” do not provide any insurance for “Me”, neither medical, disability, completed operations, product liability, nor life insurance for any injury, loss, damage, death, or claim which may result from “My” association within all”Covered Activities”. I hereby give up all rights & benefits from any insurance policy in which the “Released Entities” may be named insured. So in the event of “my” injury,disability,damage,death, or loss everyone in paragraph 1 above will suffer no financial, economic or recoverable loss. I fully understand, acknowledge and agree that there are risks and dangers associated with participation in the events and activities provided at Staceyʼs Surf Camp and Paddle camp in and out of the ocean/bay. These risks and dangers may be caused by the action, inaction, or negligence of the participant or the action ,inaction or or negligence of others, included but not limited to the “Released Entitiesʼ.   All marine life,sharks,bluefish,stingrays and jellyfish maybe dangerous & may pose a serious life danger. Marine life may attack with no warning & these attacks may result in serious injury or death. My child may have allergies to jellyfish,fish eggs or other marine life that they are unaware of. Exposure to the sun may result in sunburn, blisters or discomfort. Sun care products may not be enough to protect the participant of long term effects of sun exposure. There may be hazardous materials and pollution on the beach and in the ocean. I Absolve the “Released Entities” from all responsibility,liability & claims Understanding the above significant Risks and Dangers, “I” FOREVER exempt,release and hold harmless the “Released Entities” from all current and
future responsibility,liability, duty of care and/or claims arising out of any loss, injury,pain, suffering, damage, death and/or “emotional distress” while associating with the “Covered Activities”. even if it is the result of Simple or Gross Negligence, oversight or error. acknowledge that Staceyʼs Surf Camp may use the name, likeness, recorded voice, film, photo, videos and addresses of the named individual in advertising, marketing, product, packaging, or other use, without compensation and without restriction as to duration, media or frequency. I consent to such uses and hereby waive all rights to compensation.

THIS IS A GENERAL RELEASE FROM THE UNDERSIGNED TO THE SURF CAMP. I HAVE READ THIS GENERAL RELEASE AND LIABILITY WAVIER CAREFULLY, AND UNDERSTAND ITS TERMS, AND I UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND I SIGNED IT VOLUNTARILY AND UNDER MY OWN FREE WILL WITHOUT ANY INDUCEMENT. THIS CONTRACT COVERS ANY AND ALL ACTIVITIES AND CAMP/LESSON PARTICIPATION RELATED TO STACEYʼS SURF CAMP FOR THE YEAR 2017.

Electronic Signature Agreement. By selecting the "I Accept" button, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement. By selecting "I Accept" you consent to be legally bound by this Agreement's terms and conditions. You further agree that your use of a key pad,mouse or other device to select an item, button, icon or similar act/action, or to otherwise provide Stacey's Surf Camp LLC making any transaction regarding any agreement, acknowledgement, consent terms, disclosures or conditions constitutes your signature, acceptance and agreement as if actually signed by you in writing. You also agree that no certification authority or other third party verification is necessary to validate your E-Signature and that the lack of such certification or third party verification will not in any way affect the enforceability of your E-Signature or any resulting contract between you and Stacey's Surf Camp, LLC.

Don't forget to click "Register" below.  If you're paying online you will be taken to Step 2 - Purchase page.  If you are sending a check you will receive an email with instructions for payment.