Waiver for group outings & captain and crew

After filling out this form, please mail to: PYC - 1897 Cypress Street - Pensacola, FL 32502 or scan and email to sncyb@aol.com - please type "Scholarship application" in the subject line

PYC SATORI FOUNDATION, INC.

LIABILTY RELEASE, HOLD HARMLESS, AND INDEMNITY AGREEMENT

for myself, my family, heirs, and assigns, agree to hold harmless, release, and indemnify The PYC Satori Foundation, Inc., Pensacola Yacht Club, Inc., Pensacola Junior Yacht Club, Inc., their related, companion, predecessor, successor corporations, their officers, directors, and trustees, and all individual members of any of those entities, their employees, contractors, and assigns, from and against any demand, suit, or claim of any kind arising directly or indirectly out of my death, or injury of any sort, physical or mental, in connection with my going aboard any vessel owned, operated, or affiliated with the PYC Satori Foundation.

I UNDERSTAND AND AGREE THAT NONE OF THE RELEASED AND INDEMNIFIED PARTIES MAY BE HELD LIABLE OR RESPONSIBLE IN ANY WAY FOR ANY INJURY, DEATH, OR OTHER DAMAGES TO ME OR MY FAMILY, HEIRS, OR ASSIGNS THAT MAY OCCUR AS A RESULT OF MY PARTICIPATION IN ON-THE-WATER ACTIVITIES ASSOCIATED IN ANY WAY WITH SATORI, EVEN IN THE EVENT THAT ANY OF THE RELEASED AND INDEMNIFIED PARTIES IS, WAS, OR MAY BE CLAIMED TO HAVE BEEN NEGLIGENT, WHETHER ACTIVE OR PASSIVE, OR STRICTLY LIABLE, AND/OR IN THE EVENT THE VESSEL OR ANY PART OF IT WAS OR IS CLAIMED TO HAVE BEEN UNSEAWORTHY, EVEN IF THAT CLAIMED UNSEAWORTHINESS PREEXISTED THIS AGREEMENT. THIS HOLD HARMLESS AND INDEMNITY AGREEMENT APPLIES EVEN WHEN THE CLAIMED NEGLIGENCE OR UNSEAWORTHINESS OR BOTH CAUSED OR CONTRIBUTED IN ANY WAY, EVEN IN THE SLIGHTEST, TO MY DEATH OR INJURIES.

I am not being forced to sign this agreement. I am free to not venture aboard a SATORI vessel and will be entitled to a complete refund of any monies I may have paid. I specifically acknowledge that I fully informed myself of the contents of this Release before signing it and agree to all of its terms.

United States Admiralty and Maritime law will apply to all aspects of this agreement.

Date

Witnesse1:

Signature

Witnesse2:

About Us

The PYC Satori Foundation achieves its mission by educating through STEM lessons, Inspiring through outreach sails and boating adventures, and Enlightening through improved self-esteem and well-being for our community to have a brighter tomorrow