Hold Harmless Agreement CAPTCHAVisit DateNon members, please complete the form below each time you visit the NMSC. MM slash DD slash YYYY Name of Event(Required)Please put the reason you are at the NMSC today. Birthday Party, Celebration, Concert, DJ Night, etc. Who is completing this form?(Required) First Last Email(Required) Enter Email Confirm Email PhoneVisitor 1 First Last Visitor 1 AgeRelationship Visitor 2 First Last Visitor 2 AgeRelationship Visitor 3 First Last Visitor 3 AgeRelationship Visitor 4 First Last Visitor 4 AgeRelationship Emergency Contact First Last Emergency Contact Phone #Consent(Required)I do agree to abide by the rules of the New Milford Swim Club, Inc. located at 160 Trotta Drive in New Milford, NJ 07646 on the date provided on this form. I agree to release, indemnify, and hold harmless the New Milford Swim Club, Inc. from and against any loss, damage or liability, including attorney’s fees and expenses incurred, arising out of the participation in the event or in any manner relating to the Club for any person listed on this form. I agree to the terms and policy above.