City of St. Johns Registration Form
Please print your completed form prior to submitting and turn it in with your payment to hold your spot.
Email address *
Participant's First and Last Name *
Your answer
Age *
Your answer
Parent/Guardian's First and Last Name *
Your answer
Email Address *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Primary Phone *
Your answer
Activity/Session
Program Fee *
Parent/Guardian Signature *
I recognize that my participation in sporting activities and athletic competition subjects me to certain risks of physical injury. I hereby assume this risk as my own and all responsibility for any such injuries as they relate to said participation in sports/recreational activities on City property or properties used for City recreational activities. By typing my name on this electronic document I verify that I am who I purport to be and agree to waive any rights or claims I may have for damages arising from injuries I may receive while participating in recreational events sponsored or supported by the City of St. Johns and/or the St. Johns Recreation Department. I hold harmless the City of St. Johns and any of its employees or agents from all such claims, lawsuits, actions and/or damages. I grant to City of St. Johns, its representatives and employees the right to take photographs of me and my property in connection with the program listed below. I authorize City of St. Johns, its assigns and transferees to copyright, use and publish the same in print and/or electronically without names.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms