BABYSITTER APPLICATION and INSURANCE FORM 2025

BABYSITTER APPLICATION and INSURANCE FORM 2025

WESTBRIDGE NEIGHBORHOOD POOL BABYSITTER APPLICATION
Dues = $25 for the first babysitter and $5 for each additional.
* Fill out a new form for EACH babysitter.
Sponser Family Last Name
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N/A
Children's Names and ages
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N/A

Ex. John Smith 10
Name of Babysitter

N/A

Required Last Required First
Age of Babysitter
*
N/A
By signing this application I agree to abide by the articles of incorporation, by-laws and pool rules of Westbridge Neighborhood Pool Inc. I agree that use of the Westbridge Neighborhood Pool Facilities is entirely at my own risk and acknowledge that I am solely responsible for the safety and behavior of the children in my care while at the pool.
Signature of Babysitter
*
N/A

E-Signature Field
Clear
Signature of Sponsoring Member
*
N/A

E-Signature Field
Clear
- BABYSITTER INSURANCE FORM 2025
- In consideration of participating in the sport of swimming, and for other good and valuable consideration, I hereby agree to release and discharge from liability arising from negligence Westbridge Neighborhood Pool and its owners, directors, officers, employees, agents, volunteers, participants, and all other persons or entities acting for them (hereinafter collectively referred to as "Releasees"), on behalf of myself and my children, parents, heirs, assigns, personal representative and estate, and also agree as follows:
Terms and Conditions
*
N/A

1.
I acknowledge that the sport of swimming involves known and unanticipated risks which could result in physical or emotional injury, paralysis or permanent disability, death, and property damage. Risks include, but are not limited to, death as a result of drowning or brain damage caused by near drowning; broken bones, torn ligaments or strains as a result of falls on the deck or from a diving board; medical conditions resulting from physical activity; and damaged clothing or other property. I understand such risks simply cannot be eliminated despite the use of safety equipment, without jeopardizing the essential qualities of the activity.

I accept the Terms and Conditions.
N/A

2.
I expressly accept and assume all of the risks inherent in this activity or that might have been caused by the negligence of the Releasees. My participation in this activity is purely voluntary and I elect to participate despite the risks. In addition, if at any time I believe that event conditions are unsafe or that I am unable to participate due to physical or medical conditions, then I will immediately discontinue participation.

I accept the Terms and Conditions.
N/A

3.
I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless Releasees from any and all claims, demands, or causes of action which are in any way connected with my participation in this activity, or my use of their equipment or facilities, arising from negligence. This release does not apply to claims arising from intentional conduct. Should Releasees or anyone acting on their behalf be required to incur attorney's fees and costs to enforce this agreement, I agree to indemnify and hold them harmless for all such fees and costs.

I accept the Terms and Conditions.
N/A

4.
I represent that I have adequate insurance to cover any injury or damage I may suffer or cause while participating in the activity, or else I agree to bear the costs of such injury or damage myself. I further represent that I have no medical or physical condition which could interfere with my safety in this activity, or else I am willing to assume and bear the costs of all risks that may be created, directly or indirectly, by any such condition.

I accept the Terms and Conditions.
N/A

5.
In the event that I file a lawsuit, I agree to do so solely in the state where Releasees' facility is located, and I further agree that the substantive law of that state shall apply.

I accept the Terms and Conditions.
N/A

6.
I agree that if any portion of the agreement is found to be void or unenforceable, the remaining portions shall remain in full force and effect.

I accept the Terms and Conditions.
- By signing this document, I agree that if I am hurt or my property is damaged during my participation in this activity, then I may be found by a court of law to have waived my right to maintain a lawsuit against the parties being released on the basis of any claim for negligence.
  I have had sufficient time to read this entire document and, should I choose to do so, consult with legal counsel prior to signing. Also, I understand that this activity might not be made available to me or that the cost to engage in this activity would be significantly greater if I were to choose not to sign this release, and agree that the opportunity to participate at the stated cost in return for the execution of this release is a reasonable bargain.
  
  I have read and understand this document and I agree to be bound by its terms.
Signature
*
N/A

E-Signature Field
Clear
Name

N/A

Required Last Required First
Address

N/A

Street Address City State/Region/Province
Postal / Zip Code
Date-Time
*
N/A

dd-MMM-yyyy HH:MM AM/PM

BABYSITTER APPLICATION and INSURANCE FORM 2025

WESTBRIDGE NEIGHBORHOOD POOL BABYSITTER APPLICATION

BABYSITTER INSURANCE FORM 2025

BABYSITTER INSURANCE FORM 2025

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