2014 Hang Ten for Autism - Participant Registration : Ages 11-17

We encourage you to pack snacks, drinks and water to keep hydrated throughout the day. Sunscreen is recommended.

THIS REGISTRATION IS FOR THE AFTERNOON SESSION - CHILDREN AGES 11-17.  

Each child will be paired with a "surf guide" and one or two volunteers. Your child will be assigned to one time block for surfing (9-noon for ages 3-10 and 1-4 p.m. for ages 11-17). 

Parents are responsible for the supervision of siblings at all times.

Space is very limited for this event and will fill up quickly. You will receive an email confirmation for your child's participation. Participation will be given on a first-come basis.

The release and waiver of liability agreement MUST BE SIGNED prior to participation. Please PRINT and bring it with you to the registration table at the event.

PLEASE READ BEFORE CONTINUING ONTO REGISTRATION FORM

HANG TEN FOR AUTISM VOLUNTEER - RELEASE AND WAIVER OF LIABILITY AGREEMENT

I acknowledge that I have voluntarily applied to participate in the activities of “Hang Ten for Autism” Surf Event, hosted by The Center for Autism Resources and Education on DATE at the Siesta Key Public Beach, Siesta Key, Florida.

I AM AWARE THAT THESE ACTIVITIES ARE HAZARDOUS ACTIVITIES AND COULD LEAD TO HARM OR EVEN DEATH. I AM VOLUNTARILY PARTICIPATING IN THESE ACTIVITIES WITH KNOWLEDGE OF THE DANGER INVOLVED, AND I AGREE TO ASSUME ANY AND ALL RISKS OF BODILY INJURY, DEATH OR PROPERTY DAMAGE, WHETHER THOSE RISKS ARE KNOWN OR UNKNOWN.

As consideration for being permitted by The Center for Autism Resources and Education (CARE), the State of Florida, the County of Sarasota and Siesta Key Beach to participate in these activities and use equipment, premises and facilities, I forever release CARE, the State, the County, the City, the Lessor, any CARE affiliated organization, and their respective directors, officers, employees, therapists, volunteers, agents, contractors, and representatives from any and all actions, claims, or demands that I, my assignees, heirs, distributes, guardians, next of kin, spouse and legal representatives now have, or may have in the future, for injury, death, or property damage, related to my participation in these activities, the negligence or other acts, whether directly connected to these activities or not, and however caused, by any release, or the condition of the premises where these activities occur, whether or not I am then participating in the activities. I also agree that I, my assignees, heirs, distributes, guardians, next of kin, spouse and legal representatives will not make a claim against, sue, or attach the property of any release in connection with any of the matters covered by the foregoing release.

I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND THE CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN MYSELF AND THE CENTER FOR AUTISM RESOURCES AND EDUCATION, ITS AFFILIATES, THE STATE, THE COUNTY, AND THE CITY AND I AM SIGNING THIS DOCUMENT OF MY OWN FREE WILL.