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Passenger Manifest & Liability Waiver Form
Passenger Manifest & Liability Waiver
All details on this form must be completed prior to boarding!
Date of the departure of your trip
(Required)
DD slash MM slash YYYY
Please ensure you enter the correct date (it may be different to the one showing when you access this form) to ensure you are not delayed as we search for your information on the day.
The Departure Time of your booking
(Required)
Hours
:
Minutes
AM
PM
AM/PM
We need the correct departure Time to ensure we allocate your details to the correct trip.
Name the Booking is made in ( this is usually the group organiser's name or the company name the trip is being held for)
(Required)
This is the name of the organiser or company that made the booking. This is to ensure we can ascertain that all people in your party have signed in and are aboard (we would hate to depart without anyone that is supposed to be onboard).
Your Name
(Required)
First
Last
By completing this you acknowledge you accept the liability waiver below and understand that your details may be provided to AMSA (Australian Marine Safety Authority) upon request.
Your Email address
(Required)
By completing this you acknowledge you accept and understand that your details may be provided to AMSA (Australian Marine Safety Authority) upon request, and that we may use the email to contact you in the future. (Any such contact will have an opt-out option as legally required.)
Number of dependants (under the age of 16) that you are bringing with you on this trip
(Required)
0
1
2
3
4
5
Dependants can only be UNDER the age of 16. Anyone over the age of 16 must legally complete this form, separately, for themselves.
Accident Waiver and Release of Liability for all activities conducted with Sunshine Coast Afloat
(Required)
ACCIDENT WAIVER AND RELEASE OF LIABILITY APPLICABLE TO ALL ACTIVITIES CONDUCTED WITH SUNSHINE COAST AFLOAT.
This participation registration and agreement must be completed by each person participating in any activity undertaken with Sunshine Coast Afloat.
For any participant under 16 years of age consent must be either completed by Parent or Legal Guardian or that participant must be noted as a dependent on the parent or guardians’ form. Refusal to complete this registration agreement, in part or in full, will result in refusal for admission to the relevant vessel(s) and in such cases no refunds will be applicable or provided.
YOUR COMPLETION OF THIS FORM INDICATES YOU ACCEPT THE CONDITIONS OUTLINED BELOW AND FULLY UNDERSTAND ANY AND ALL POTENTIAL RISK INHERENT WITH THIS ACTIVITY.
Your completion indicates your acknowledgement that you have read and understood the company terms and conditions under which Sunshine Coast Afloat activities are operated and conducted and are in full agreement with such. This includes the release of all liability as outlined.
You further acknowledge that you have read this document at your leisure and have had adequate time to decide whether to participate in the relevant activity offered by Sunshine Coast Afloat.
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I acknowledge that I fully understand the activity offered by Sunshine Coast Afloat in which I am about to participate in, is by insurance and legal considerations considered an extreme marine/water-based activity and as such carries with it the potential for serious injury and death.
I AM AWARE that there are risks, hazards and dangers inherent in any form of boating and marine activity (the “Company’s Activity”) including bumping, turning, rolling and jolting of the boat, as well as potential for injury through hooks, fish and other related fishing tackle and apparel, knives and fish both in the catching and handling of marine life, and in the in the preparation and use of bait, and other general marine related activities including items such as damage from glass and other potentially damaging materials and or items.
Notwithstanding such risks, hazards and dangers, I request the Company to allow me to participate in its Activity, and I hereby agree to assume all risks known and unknown, involved in engaging in the above activity.
I AM AWARE that the risks include but are not limited to: actions of other people including, but not limited to, participants, and crew; through drowning, lack of hydration, weather, and/or other natural conditions. I hereby assume all the risks of participating in this event.
I AGREE, and am aware, that as a condition of being allowed to participate in the Company’s Activity, I warrant that I am comfortable in and around the water and watercraft and that I am in good physical health. In particular, I warrant that I have no medical condition including but not limited to, my neck, back or heart that would be adversely affected by my participation.
I also warrant that I am not pregnant, and if so I agree to waive and release all liability to the company and all released parties from any complications to me or my unborn child. I understand that this activity is not recommended for people suffering from medical conditions including but not limited to the neck, back or heart.
I am aware that Sunshine Coast Afloat recommends that any passenger, with any medical condition, or is or may be, pregnant should consult with their physician, prior to participating in a Sunshine Coast Afloat activity. I warrant I have informed Sunshine Coast of any medical condition I have to ensure they are able to assist to the best of their abilities in the case of an emergency.
I acknowledge that this Accident Waiver and Release of Liability (AWRL) form will be used by Sunshine Coast Afloat, in relation to the activity I am about to undertake and it will govern my actions and responsibilities during the event.
In consideration of my application and permitting me to participate in this activity, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows: (A) Waive, release, and discharge from any and all liability for my death, disability, personal injury, property damage, property theft or actions of any kind which may hereafter accrue to me or my traveling to and from this activity, Sunshine Coast Afloat, and their directors, officers, employees, representatives and agents, (B) indemnify and hold harmless all entities or persons mentioned in this paragraph from any and all liabilities or claims made by other individuals or entities as a result of my actions during this activity.
I hereby consent to receive medical treatment that may be deemed advisable in the event of injury, accident, and/or illness during this event.
I understand that during these activities I may be photographed and video recorded. I agree to allow my photo, video, or film likeness to be used for any legitimate purpose by the company. I understand and agree that my information will be added to the customer database of Sunshine Coast and that they may use this to contact me in future by email. I understand that I also have the ability to opt out of such communications at any time once having received such.
I acknowledge I am aware that smoking is not permitted under any circumstance aboard the vessel, and that I cannot board wearing Black soled footwear or stiletto heeled shoes.
This Accident Waiver and Release of Liability shall be construed broadly to provide a release and waiver to the maximum extent permissible under the applicable law.
I am aware that due to the Covid 19 pandemic, the Qld Government, Federal Government and Qld Health may impose restrictions, requirements and mandates that apply to myself and my ability to partake in the activity I have booked. I hereby confirm that I am aware of all such restrictions, requirements and mandates as they apply to myself on the date on my booked activity with Sunshine Coast Afloat, and confirm I am legally able to comply with such restrictions, requirements and mandates, enabling me to participate in the activity. This includes any vaccine mandates, and other health regulations as they apply to the activity.
I hereby certify via the completion of this form that I have read this document and I fully understand and agree with its content.
I hereby certify that I have read this document and I fully understand and agree with its content.
(PLEASE CHECK BOX)
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Contact Us
Your Name
*
Email Address
*
Phone Number
*
Trip Type
*
Please confirm trip choice
Fishing Charter
Jet Boat Thrill Ride
Guided Kayak Fishing Tour
Cruise or Party Boat Hire
Whale Watching
Ashes Scattering
Water Taxi Service
Fishing Charter Choice
*
5 Hour (Half Day)
7 Hour (3/4 Day)
9 Hour (Full Day)
11 Hour (Mega Day)
12 Hour (Maxi Day)
18 Hour (Overnight Trip)
Other
Please describe charter
Trip times
Sunrise (available on all Charters)
Midday (available on 5 and 7 Hr Charters only)
Sunset (available on 5, 7, & 9 hour Charters only)
Cruise or Party Boat trip choice
*
2 Hour Cruise or Party Boat trip
3 Hour Cruise or Party Boat trip
Other
Please describe trip
Whale Watching Trip
*
3 Hour trip on Crusader 1
2 Hour trip on Jet Boat
Ideal Date
*
DD slash MM slash YYYY
Number of People
*
Please enter a number from
1
to
23
.
General Note
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