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Liability Waiver & Release

Please complete every section before your swimmer's first lesson. The whole thing should take about 5 minutes.

Tip: Use the signature line at the bottom to type your full legal name — that counts as your electronic signature under Texas law (Tex. Bus. & Com. Code §322).

1. Swimmer Information
2. Parent / Guardian Information
3. Emergency Contact (other than parent above)
4. Medical & Health Information

Share anything that may affect your swimmer's safety in the water (allergies, asthma, seizures, ear tubes, recent surgeries, fear of water, etc.).

5. Acknowledgement, Assumption of Risk & Release

In consideration for being permitted to participate in swim lessons and any related activities provided by Lillie Flippen, doing business as "Lillie's Swim School" (the "Instructor"), I, the undersigned parent or legal guardian of the swimmer named above, on behalf of myself, my child, and our heirs, executors, administrators, successors, and assigns, agree as follows:

  • I understand that swimming and water activities involve INHERENT RISKS, including but not limited to drowning, near-drowning, slips, falls, contact with the pool surface or other swimmers, weather exposure, communicable illness, and other physical injuries — some of which may be serious or life-threatening.
  • I VOLUNTARILY ASSUME ALL SUCH RISKS, both known and unknown, and accept full personal responsibility for any injury, loss, or damage to myself or my child arising out of participation in lessons.
  • I represent that my child is physically able to participate in swim lessons. I will inform the Instructor in writing of any medical condition that may affect participation.
  • I authorize the Instructor to seek and consent to emergency medical treatment for my child if I cannot be reached, and I agree to be financially responsible for any such care.
  • I agree to RELEASE, WAIVE, DISCHARGE, AND HOLD HARMLESS Lillie Flippen, the property owner at 1003 Hemingway Drive, College Station, TX 77845, and their respective family members, heirs, agents, and representatives (collectively, the "Released Parties") from any and all claims, demands, actions, or causes of action arising out of or related to any loss, damage, or injury — including death — sustained by me or my child while participating in or in connection with swim lessons, EVEN IF CAUSED BY THE NEGLIGENCE of the Released Parties, to the fullest extent permitted by Texas law.
  • I agree to INDEMNIFY AND HOLD HARMLESS the Released Parties from any loss, liability, damage, or cost they may incur due to my or my child's participation.
  • This Agreement is governed by the laws of the State of Texas. If any portion is held invalid, the remainder shall continue in full force and effect.
6. Photo & Media Release

From time to time, Lillie's Swim School may take photos or short videos of lessons for use on its website and social media (no last names will be published).

7. Studio Policies
  • Payment is due at the time of the lesson (cash, Venmo, or check).
  • Cancellations: please give at least 24 hours' notice when possible. Lessons cancelled by the Instructor due to weather or illness will be rescheduled at no charge.
  • Swimmers should arrive 5 minutes early in their swimsuit. Please bring a towel, sunscreen, and goggles if available.
  • A parent or guardian must remain on the property for swimmers under 8 years old.
  • Lillie's Swim School reserves the right to dismiss a swimmer without refund for unsafe behavior or repeated policy violations.
8. Electronic Signature

By typing your full legal name below, you confirm this is your electronic signature and you accept the terms of this waiver.

Parent / guardian signature (type your full name)

This typed signature has the same legal effect as a handwritten one for this agreement.

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