Legal Guardian Release Form
Name *
Your answer
Minor's Name(s) *
Your answer
Address *
Your answer
Email *
Your answer
Phone Number *
Your answer
I have read and understand the Volunteer Waiver & Release and agree to release and hold harmless the Town of Leland on behalf of my child(ren). (Located here: *
The Department of Parks and Recreation reserves the right to photograph facilities, activities and program participants for potential future use. All photos remain the property of the Town of Leland and may be used for art projects, good behavior recognition, and occasional publicity and promotional purposes. I agree to release the Town of Leland from any and all liability and/or obligation to me and/or my child(ren) for the use of such documentation. *
By signing and submitting this form, I affirm that the facts set forth are true and complete and that I am the legal guardian of the minor(s) named above. I further agree to allow my child(ren) to participate in the volunteer program with Leland Parks and Recreation. *
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