City of Rossford Parks & Recreation: Program Registration Form
Prices based on program
*
Required
First Name *
Your answer
Last Name *
Your answer
Birth Date *
MM
/
DD
/
YYYY
Age *
Your answer
Grade (2018 - 2019 School Year) *
Your answer
Phone Number *
Your answer
Email Address
Your answer
Shirt Size *
Volunteer Coach? *
PHOTO RELEASE: If we have program photos taken with your child in them, may we use them in our promotional material? *
As a participant in this and any other program of the City of Rossford Parks and Recreation Department, I/we recognize and acknowledge that there are certain risks and I/we agree to assume all such risks including any damages resulting from physical injuries, death, loss of service or consortium, loss or damage to property, or any other loss which I may sustain as a result of participating in any and all activities connected with or associated with such programs. In consideration of the Rossford Parks and Recreation Department accepting me or my child’s registration, and with the intent to be legally bound, I hereby, for myself, for my child, all heirs, executors, administrators, and assigns, do hereby forever release, waive and relinquish all claims I have or may have as a result of participating in this and all other programs of the City of Rossford Parks and Recreation Department. Furthermore, I/we promise not to sue the City of Rossford Parks and Recreation Department and its officers, agents, servants, employees, sponsors, and insurers, from any and all liabilities, claims, demands, actions or causes of action resulting from physical injuries, including death, loss of services or consortium, loss or damage of property, or any other loss to me on account of my participation in this and all other programs of the City of Rossford Parks and Recreation Department *
By accepting, you may give up legal rights
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