Annapolis Charters
Release of Liability and Hold Harmless Agreement
Disclaimer of Liability:  Annapolis Charters (AC) is a for profit organization which
invites qualified sailors to charter Smooth Jazz, a 41’ sailing vessel, model year 2000,
on the Chesapeake Bay and its tributaries.

The Applicant for Charter (Captain/Contact Person requesting charter) and his/her
family and any crewmembers/guests/passengers acknowledge that:

1)  The Activity of Sailing, including boarding and debarking (getting on and off) the
vessel, as well as entering any work area, dock, ladder, boat, or using any other means
to gain access to (and leave from) the vessel, presents a level of danger/risk and
personal injuries can and do occur, and


2)  if he/she/they choose to participate, in the Activity of Sailing, he/she/they do so
solely at their own risk.

The Applicant for Charter (Captain/Contact Person requesting charter) and his/her
family, and any crewmembers/guests/passengers acknowledge and agree that AC, its
owner(s), officers/crew, and agents shall not be liable or responsible for, and Applicant
for Charter/Captain  and his/her family and any crewmember/guest shall save and hold
them harmless from and against, any and all claims and damages of every kind for injury
to or death of any person or persons and for damage to or loss of property, whether or
not caused by the negligence of AC, arising out of, or attributing directly or indirectly to,
the operations, event, or Sailing Activity/charter conducted and/or offered by AC of
which the undersigned and his/her crewmembers/guests/passengers are participants.

In the event of inclement weather, injury, or other causes or events beyond the control
of AC, which cause delay or necessitate medical care, special transportation, it shall not
be the responsibility of AC to pay for resulting costs and expenses, including, but not
limited to, additional lodging expense, additional meals expense, medical expense,
special transportation or other similar measures.

I have read and understand the above Release/Disclaimer of Liability.

Signature Captain/Crew/Guest (#1) _____________________________________
Date:_____________

Please Print Name___________________________________________________


Signature 1st Mate/Crew/Guest (#2) _____________________________________
Date:_____________

Please Print Name___________________________________________________


Signature Crew/Guest (#3) ____________________________________________
Date:_____________

Please Print Name___________________________________________________


Signature Crew/Guest (#4) ____________________________________________
Date:_____________

Please Print Name___________________________________________________


Signature Crew/Guest (#5) ____________________________________________
Date:_____________

Please Print Name___________________________________________________


Signature Crew/Guest (#6) ____________________________________________
Date:_____________

Please Print Name___________________________________________________


Signature Crew/Guest (#7) ____________________________________________
Date:_____________

Please Print Name___________________________________________________


Signature Crew/Guest (#8) ____________________________________________
Date:_____________

Please Print Name___________________________________________________

Charter Dates:  

From:  Day:__________________  Date:__________________

To:  Day:__________________  Date:__________________

All trip/charter participants 18 years old or older must sign and date this form. For
trip/charter participants under the age of 18, an adult parent/guardian must sign this
form, and the parent/guardian must accompany them on the charter.
Form date 3/18//2016                 
Smooth Jazz