[Your Name]

[Your Address]

[Email Address]

[Phone Number]

[Date]

[RSS SWIMMING SCHOOL]

Venue:

[Lourdes School of Mandaluyong Barangay, Saint Francis Street corner Shaw Blvd.]

[Mandaluyong City, Zip Code 1552]

Subject: Waiver and Release of Liability for [JRU P. E. Swimming Class]] on [1ST semester
school year 2023]

Dear [RSS SWIMMING SCHOOL],

I, the undersigned participant, hereby acknowledge and understand the risks associated with
participating in the [JRU P. E. Swimming Class] scheduled to take place on [1ST semester
school year 2023]. In consideration of being permitted to participate in this JRU P. E.
Swimming class, I agree to the terms outlined in this waiver and release of liability.

I understand that swimming is an inherently risky activity that can result in serious injury,
including but not limited to drowning, physical harm, and other health-related issues. I
acknowledge that I am participating in the [JRU P. E. Swimming class] event voluntarily and
of my own free will.

In consideration for being allowed to participate, I, on behalf of myself, my heirs, executors,

administrators, and assigns, hereby release, discharge, and hold harmless [RSS SWIMMING
SCHOOL], its officers, directors, employees, volunteers, agents, representatives, and sponsors
from any and all claims, demands, actions, causes of action, liabilities, expenses, or
compensation of whatsoever kind or nature arising out of or resulting from any injury, loss,
damage, or death that may occur as a result of my participation in the [JRU P. E. Swimming
class] .
I understand and agree that this waiver and release of liability is intended to be as broad and
inclusive as permitted by the laws of the state in which the event is held and that if any portion
is held invalid, the remainder will continue to be in full legal force and effect.

I certify that I am in good physical condition and have no medical or other conditions that
could interfere with my ability to safely participate in the [JRU P. E. Swimming class] event. I
agree to abide by all event rules and guidelines and to follow the instructions of event staff and
officials.

I have read this waiver and release of liability, fully understand its terms, and voluntarily agree
to its contents. I acknowledge that I am giving up substantial rights by signing this waiver and
release, and I sign it freely and without any inducement.

Participant's Full Legal Name: _______________________________

Participant's Signature: _______________________________

Date: _______________________________

(Parent or Guardian's signature if participant is under 18 years old)

Parent/Guardian's Full Legal Name: _______________________________

Parent/Guardian's Signature: _______________________________

Date: _______________________________

Please retain a copy of this signed waiver for your records.

Sincerely,

[Your Signature]

[Your Printed Name]

Participant

(Note: This sample waiver is provided for informational purposes only and should be reviewed
and customized to fit the specific requirements and regulations of your event and jurisdiction.
It is advisable to consult with legal counsel to ensure the waiver is legally valid and meets all
necessary legal standards.)