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ADDRESS

Phone Numbers – Member #1

Phone Numbers – Member #2

PLEASE CHECK ANY INFORMATION YOU WANT EXCLUDED FROM THE PUBLISHED MEMBERSHIP LIST:
Member #1
Member #2
SCUBA CERTIFICATION (AGENCY, LEVEL, DATE)
PLEASE INCLUDE A BRIEF STATEMENT ABOUT YOUR DIVING EXPERIENCE AND INTERESTS:
MEMBERSHIP DUES: COUPLES RESIDING AT THE SAME ADDRESS $79 PER YEAR .
ANNUAL MEMBERSHIP, MARCH THROUGH FEBRUARY.

GENERAL RELEASE FROM LIABILITY

In consideration of my participation in Marin Scuba Club ( “MSC ”) activities, I hereby fully release and discharge MSC, its officers, directors, members, course instructors, dive trip leaders, boat owners and skippers, drivers, agents, attorneys and their heirs, successors and assigns (the "released parties"), from any present and future claims, actions and damages, of any kind and nature, including negligence, property damage, personal injury, or wrongful death, arising from my participation in MSC related activities, including, but not limited to social activities. This release includes, but is not limited to, all compensatory, non-economic, consequential, incidental, and punitive damages.

PLEASE READ AND INITIAL ON EACH LINE BELOW

ACKNOWLEDGEMENT AND ASSUMPTION OF RISKS

Couples Member #1
Couples Member #2
I HAVE READ THIS GENERAL RELEASE OF LIABILITY AND FULLY UNDERSTAND THAT BY SIGNING THIS FORM, I AM GIVING UP LEGAL RIGHTS AND/OR REMEDIES WHICH MAY BE AVAILABLE TO ME.

I expressly waive any rights or benefits available to me under the provisions of Section 1542 of the California Civil Code, which provides as follows:

"A general release does not extend to claims which the creditor does not know or suspect to exist in his favor at the time of executing the release, which if known by him must have materially affected his settlement with the debtor."

I fully understand the statutory language of California Civil Code Section 1542 and, with this understanding, I nevertheless elect to and do assume all risk for claims released under this General Release from Liability.

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