top of page

Student Information

Date of birth
Are you a weak or non-swimmer?
No
Yes
Are you suffering from a medical condition, illness or injury?
No
Yes

Legal Guardian if student is under 18

Waiver and Release of Liability

Please carefully read the following:

I agree to participate in the National Safe Boating Council, Mark Knowles, and BoatMasters’ training course. I understand that this program will have both classroom and on-the-water sessions, and, like any program involving water, is inherently dangerous because of the possibility of immersion and even death. I also understand and am aware that each participant will be engaging in the training that involve risk of serious injury, and/or damage to my vessel or another vessel, which might result not only from their own actions, inactions or negligence but the actions, inactions or negligence of others or the conditions of the premises or of any equipment used.     



I agree to abide by the rules and regulations as set forth by the National Safe Boating Council (NSBC). I agree to obey the instructor(s) and the supervisor(s) of the training. I promise to wear any safety equipment as required by an official of the NSBC such as, but not limited to personal flotation devices, non-slip footwear and appropriate clothing for the weather conditions. Prior to departing the ramp or dock, a pre-departure checklist and safety brief will be conducted to inspect the equipment to be used, and if anything is unsafe, they will immediately advise their instructor or supervisor of such conditions and refuse to participate until condition(s) is corrected.


I certify that I am either the lawful owner of the vessel, or am legally authorized by the owner to use this vessel for training and/or other purposes.  I further agree and understand that training may include, but not be limited to exercises such as docking, anchoring, close quarters maneuvers and high speed maneuvers.  I further understand and agree that such actions or inactions during these maneuvers, either by myself, or Mark Knowles,  may cause damage to the vessel I am operating, other vessels, the environment, structures, and any surrounding objects and persons.  I certify that I am fully aware and accept these risks and release, waive, discharge, and hold harmless and without fault NSBC, Mark Knowles, BoatMasters and any and all relatives, agents, designated agents, or associates concerned with or related either professionally, or casually to the NSBC, Mark Knowles, and BoatMasters.


I certify that I am in reasonably good health and that I am able to participate in this activity without adversely affecting any health problems. I will notify the supervisor and instructor(s) of any condition that may affect any participation and of any medication which I am currently taking.

Having read this waiver, I do hereby agree to release, waive, hold harmless, and discharge the NSBC, Mark Knowles, BoatMasters, all sponsors, representatives and volunteers, any involved government organizations or other organizations and the boards, trustees, officers, employees, or volunteers of any of them, and if applicable, owners and leasers of premises used to conduct this event  from any and all liabilities to the undersigned, his or her heirs and next of kin for any and all claims, demands, losses or damages or damage to property, caused or alleged to be caused in whole or part by the negligence of the persons, entities or otherwise. 


I also grant permission to the NSBC and its sponsors to use any photographs, motion pictures, recordings or any record of this training for educational and legitimate purposes.

bottom of page