Honolulu Emergency Services Department

I, the Parent/Guardian or Emergency Contact, release the Ocean Safety and Lifeguard Services Division, the Honolulu Emergency Services Department, and the City and County of Honolulu, and any or each of its officers, agents, employees, and sponsors from any liability for injuries or damages arising out of or related to my child’s participation in and instructions provided by the City’s summer Junior Lifeguard Program.

I understand and agree that open ocean activities are inherently dangerous activities and my child’s participation in the City’s Junior Lifeguard Program, while supervised by City personnel, is knowingly and voluntarily entered into. As the Parent/Guardian or Emergency Contact of the Junior Lifeguard, I assume all risk of bodily injury and/or damages that may arise out of or relate to participation in this program. Should emergency medical care be required for my child while in the Program, I certify that my child is a covered insured under an existing health insurance plan/program and that I agree to pay for all such costs and expenses incurred for such emergency medical services.

I release the City and County of Honolulu, its officers, agents, employees, and sponsors and waive any and all claims for injuries and damages that may arise out of or relate to my child’s participation in the Program.

I have read and understand this Release and Waiver agreement and enter into this agreement knowingly and voluntarily.