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Westside Skate Night Waiver

Welcome to Westside Elementary School's Skate Nights.  We look forward to having you join us.  The purpose of skate night is to have fun and be safe.  Please fill out each section below.  Once you have submitted your waiver bring it to the volunteer for your skates then head off and HAVE FUN! 

+ $3 per skater 

+ $10 per family (max 6)

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Email *
Which session are you participating in?  *
Please list ALL skaters FULL NAME and GRADE (including parents)  *
Read and Sign the below waiver: 

My child(ren), listed above, have my permission to skate with the Hood River Skate Club during the 2025 season.

I agree to be responsible for my child(ren) if they become injured during the skate season. I will not hold the Hood River School District responsible for any injuries that may occur. 

My child(ren) and I have read and agree to the rules of the Hood River Skate Club (see back side of form).


I agree to assume all risks incidental to participation in Community Education and skate club activities (which risks may include, among other things, muscle injuries and broken bones).   I further hereby release, covenant not to sue, and forever discharge Hood River County School District of and from all liabilities, claims, actions, damages, costs or expenses of any nature arising out of or in any way connected with my participation in skate club and further agree to indemnify ‎and hold the Hood River County School District harmless from and against any and all such liabilities, claims, actions damages, costs or expenses.  I understand that this release and indemnity includes any claims based on negligence, action or inaction of any of Hood River Co. School District and covers bodily injury (including death), property damages, and loss by theft or otherwise, whether suffered by me or after such participation.

I further agree to conduct myself, or take responsibility for my child participating, in a manner appropriate for this activity and will not skate in a manner that could cause harm.   I take full responsibility for the actions of my child participating in skate club activities.  I further release the Hood River Skate Club/Westside Elementary School from any and all liabilities and realize they are just community members volunteering their time with the skate club program.

Name of Parent, Responisble Party, or Guardian
*
Phone number  *
Today's Date *
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Emergency Contact Name and Phone Number *
Would you be interested in volunteering for a future skate night?  *
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