​​"Excellence in Aquatics"

919-609-0730


                                                                         Laura@swimlessonsraleigh.com 

Swim Lessons Raleigh, Laura Gould, SwimLessonsRaleigh.com

Permission Form & Liability Release

I, the undersigned,


is enrolling my child with the Swim Lessons Raleigh, dba SwimLessonsRaleigh.com company. I understand and acknowledge that any person attending any lesson, practice or meet and using the facilities does so at their own risk.

Swim Lessons Raleigh dba SwimLessonsRaleigh.com, Laura Gould and Triangle Swim School and their directors, coaches and agents and any or all affiliated entities shall not be liable for any damage whatsoever arising from any personal injury or property loss sustained by the swimmer and family in or about any programs or your families on any premises.

​This also holds true for Banner Management at Summermill Apartments and Villages at Town Center.


I, the enrolled participant and/or the parent/guardian of the participant, agree and understand that swimming is a hazardous activity. I recognize that there are risks inherent in the sport of swimming, including but not limited to, paralyzing injuries and death. The participant hereby agrees to participate in the swim lessons/swim team/swim activities at any/all Triangle Swim School locations or Swim Lessons Raleigh locations.

Fully and forever and hereby agrees to indemnify against hold harmless Swim Lessons Raleigh, and Emerging Technology Solutions Group, Inc. dba Triangle Swim School, their officers, directors, agents, employees, coaches, 1099 contractors, against any liability resulting from any injury that may occur to the participant while participating in the swim lessons/swim team.

I do hereby fully and forever release, discharge and hold harmless Swim Lessons Raleigh dba SwimLessonsRaleigh.com, Laura Gould, Triangle Swim School and all associated facilities, and its directors, owners, coaches, members and agents from any and all claims, demands, damages, rights of action, present or future resulting from or arising out of any person's participation in any programs or use of its facilities. I further agree to fully and forever release, discharge, and hold harmless Triangle Swim School. along with its owners, subsidiaries, and managers, and all other affiliated entities from any and all claims, demands, damages, rights of action, present or future resulting from or arising out of any person’s participation in any programs or use of its facilities.

The participant also agrees to indemnify Swim Lessons Raleigh or Triangle Swim School for any damages incurred arising from claims, demand, action or cause of action by the participant. The participant authorizes, any representative of Triangle Swim School or Swim Lessons Raleigh to have the participant treated in any medical emergency during their participation in the swim lessons/swim team. Further, the participant and/or parent/legal guardian agrees to pay all costs associated with medical care and transportation for the participant.

Consent -


I, the undersigned parent/guardian of the participant do hereby grant the staff of Swim Lessons Raleigh dba SwimLessonRaleigh.com, Laura Gould or Triangle Swim School the authority to render judgment concerning calling for medical assistance in the event of an accident or illness.



I HAVE CAREFULLY READ THE ABOVE LIABILITY RELEASE AND SIGN IT WITH FULL KNOWLEDGE OF ITS CONTENTS AND SIGNIFICANCE.



_____________________________ Signature of Parent or Guardian ______________________________ Child’s Name & Birthdate ______________________________ Child’s Name & Birthdate ______________ ________________Date & Email address