LIABILITY WAVIER AGREEMENT

I, _____________________________________ (Contracted/Skier) enter into this agreement with Gary C. Maynard, (the Contractor) on this_________ day of ______________2019 between the hours of ___________ & ___________ in order to contract him for services as a Boat Pilot so I may engage in waterskiing or watertubing (the Activity). Location for the contracted service is near 1023 1/2 Roosevelt Drive, Derby, Connecticut. Lot # R312-7 5 R20 (the Property).

I acknowledge that I am a competent swimmer and suffer from no physical disability that may prohibit me from swimming or engaging in the Activity or any water sport. I understand and agree that the Contractor is not responsible for instruction in the Activity and assumes no liability for that instruction if he offers it. I agree to abide by the Contractor's instructions while engaged in the Activity, as a passenger in the boat or as a visitor to the Property. I agree to contain my movements to the Property and maintain a safe distance from deep water and from the boat if not engaged in the Activity. I also agree to assume the responsibility of Spotter or Observer and watch the Skier in order to inform the Contractor of the Skier's activity.While I am engaged in the Activity or as a passenger in the boat or as a visitor to the Property I will not consume alcohol or ingest any substance that may impair my ability to swim or engage in the Activity. I acknowledge that I am not currently under the influence of any substance that may impair my ability to swim and safely engage in the Activity. I agree to act in a safe and responsible manner and understand that the Contractor has the right to terminate services at any time for improper or unsafe behavior by me or my associates.

I understand and agree that the Contractor assumes no liability for any injury or loss caused by  the Contractor, me or my associates. I agree that the Contractor assumes no liability for any negligence or misuse of equipment while I am engaged in the Activity or while a passenger on the boat or a visitor to the Property before and or during the contracted time in perpetuity and thereafter. I waive any claims against the Contractor for the loss of my property or injury from acts of nature, wildlife, water-going vessels, floating or submerged objects. I understand that the Contractor is not trained in CPR or other resuscitation skills and therefore, assumes no liability for bodily injury or loss of life.

My signature below acknowledges that I am at least 18 years old and understand and agree to the above terms with full knowledge that I waive any future claims against the Contractor.


1. CONTRACTED ADULT:___________________________Sign:________________________________________________________ Date:

2. CONTRACTED PARENT/GUARDIAN: I, ____________________________acknowledge that

I am the parent or legal guardian of ____________________________________the Contracted and give permission to my son, daughter to participate in the Activity as described in the above and understand and agree on his or her behalf to the above terms. I agree to waive any future claims against the Contractor and his assigns in perpetuity.

PARENT: ___________________________________Sign:_______________________________________________________________       Date:                           

Address: ____________________________________________________________________

Email: ________________________________________________________________________