"Registration Form - Swimming Outside of Designated Swimming Beach" - Iowa

This fillable "Registration Form - Swimming Outside of Designated Swimming Beach" is a document issued by the Iowa Department of Natural Resources specifically for Iowa residents.

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Download "Registration Form - Swimming Outside of Designated Swimming Beach" - Iowa

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REGISTRATION
Swimming Outside of Designated Swimming Beach
Each swimmer must complete his/her own registration form.
Date of Swim:
Approximately Start Time:
Name of Swimmer:
Address:
Name of Vessel Operator:
Please read the following paragraph and then sign this form and deliver it to park staff prior to the
activity taking place.
I acknowledge that I fully understand the hazards of swimming outside the designated swimming beach.
The undersigned agrees that neither the Department of Natural Resources nor the State of Iowa will be
responsible for any injury to persons or damage to property arising out of or as a result of the swimming
activity in which I am about to engage. The undersigned agrees to indemnify and hold the Department of
Natural Resources and the State of Iowa harmless from any and all claims for any such injury or damage.
Signature of Swimmer
Date
REQUIREMENTS
Swimming Outside of Designated Swimming Beach
571 IAC 61.7(2)c
Persons may swim outside the beach area under the following conditions:
1. Swimming must take place between sunrise and sunset;
2. The swimmer must be accompanied by a person operating a vessel and must stay within 20
feet of the vessel at all times during the swim;
3. The vessel accompanying the swimmer must display a flag, which is at least 12-inches
square, is bright orange, and is visible all around the horizon; and
4. The person swimming pursuant to these rules must register with park staff in charge of the
area and sign a registration immediately prior to the swim.
A vessel, defined in Iowa Code 462.2, means every description of watercraft, other than a
seaplane, used or capable of being used as a means of transportation on water or ice. Ice boats
are watercraft.
REGISTRATION
Swimming Outside of Designated Swimming Beach
Each swimmer must complete his/her own registration form.
Date of Swim:
Approximately Start Time:
Name of Swimmer:
Address:
Name of Vessel Operator:
Please read the following paragraph and then sign this form and deliver it to park staff prior to the
activity taking place.
I acknowledge that I fully understand the hazards of swimming outside the designated swimming beach.
The undersigned agrees that neither the Department of Natural Resources nor the State of Iowa will be
responsible for any injury to persons or damage to property arising out of or as a result of the swimming
activity in which I am about to engage. The undersigned agrees to indemnify and hold the Department of
Natural Resources and the State of Iowa harmless from any and all claims for any such injury or damage.
Signature of Swimmer
Date
REQUIREMENTS
Swimming Outside of Designated Swimming Beach
571 IAC 61.7(2)c
Persons may swim outside the beach area under the following conditions:
1. Swimming must take place between sunrise and sunset;
2. The swimmer must be accompanied by a person operating a vessel and must stay within 20
feet of the vessel at all times during the swim;
3. The vessel accompanying the swimmer must display a flag, which is at least 12-inches
square, is bright orange, and is visible all around the horizon; and
4. The person swimming pursuant to these rules must register with park staff in charge of the
area and sign a registration immediately prior to the swim.
A vessel, defined in Iowa Code 462.2, means every description of watercraft, other than a
seaplane, used or capable of being used as a means of transportation on water or ice. Ice boats
are watercraft.
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