Shifting Gears United

disability

Water Aerobics

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Join Shifting Gears United for AQUAFIN Adaptive Water Aerobics!

Held on Tuesdays and Thursdays at the North Palm Beach Country Club, this energetic water fun class is open to all!

Sponsored by LEEDS Foundation. Chair lift available.

Contact Jacqui for details. 561-831-8887



Multi-Sports Registration Form

Personal Information

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Disability Information

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Assistance and Mobility

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Waiver and Legal Agreement

Waiver and Release of Liability

I know that participating in Shifting Gears United athletic events is potentially hazardous. I agree not to enter any Shifting Gears United race, activity, or sponsored event unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the activity. I assume all risks associated with participating, including, but not limited to: falls, contact with vehicles, other participants, spectators, or others, the effect of the weather, including high heat, extreme cold and/ or humidity, traffic conditions of the road, all such risks being known and appreciated by me. Having read this Waiver and knowing these facts, and in consideration of your accepting my application, I, for myself or for my child and anyone else entitled to act on my behalf, waive and release, and agree to indemnify and hold harmless Shifting Gears United to which I belong (including directors, officers, leaders, members, athletes, volunteers, guides), the local county and city departments of Parks and Recreation, all sponsors of Shifting Gears United and any of their races or events, members and volunteers, from present and future claims and liabilities of any kind, known or unknown, arising out of my participation in any Shifting Gears United event or related activities, even though that liability may arise out of ordinary negligence or fault on the part of the persons named in this Waiver. By registering for a Shifting Gears United or any other race though Shifting Gears United, I hereby grant my permission to Shifting Gears United to act as proxy on my behalf for that race with full authorization to execute consents, waivers and releases included in the Shifting Gears United registration. I further grant my permission to all the foregoing to use photographs, motion pictures, recordings, or any other record of my participation in Shifting Gears United for any legitimate purpose, without remuneration. I have read this waiver and agree to the terms.

Safe Sport Acknowledgement

I understand that (1) participation with Shifting Gear s United is strictly voluntary, and (2) I a monthly to receive/provide running companionship, advice, and encouragement from my fellow Shifting Gears United athletes/volunteers/guides. If anything, else is asked of me, or if I am otherwise uncomfortable or concerned, I will bring it to the immediate attention of the Shifting Gears United President.

By typing your name here, you acknowledge that this serves as your electronic signature.

Witness Information (Optional)