East Haddam Parks and Recreation
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Registration Form/Program Waiver and Release of Liability
East Haddam Parks and Recreation
READ ENTIRE PAGE BEFORE SIGNING
All refund requests must be made in writing. Refunds will be given (minus the credit card fee) if requested at least two weeks prior to the start of the program. Any request made within two weeks of the start of a program will be issued as a credit to the participants’ account for future program use. Once the program has started no refunds or credits will be issued unless the program is cancelled by East Haddam Parks and Recreation. Participants with extenuating circumstances may request a review of their case by providing written documentation of their situation to the Recreation Director. A service fee of 3% will be charged for all refunds and credits issued.
I grant East Haddam Parks and Recreation, its representatives and employees, the right to take photographs of me, my property, and my minor children in connection with the program that I am registering for. I authorize East Haddam Parks and Recreation, its assignees and transferees to copyright, use and publish the same photographs in print and/or electronically. I agree that East Haddam Parks and Recreation may use such photographs of me and my children with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.
Program Waiver and Release of Liability
Sports, program, related events and activities, the undersigned acknowledges, appreciates, and agrees that;
The risk of injury from the activities involved in this program may be significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist: and,
I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume ALL responsibility for my participation; and,
I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself form participation and bring such to the attention of the nearest official immediately and,
I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HERBY RELEASE AND HOLD HARMLESS East Haddam Park and Recreation; their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and leasers of premises used to conduct the event (“RELEASES”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
FOR PARTICIPANTS OF MINORITY AGE
(BELOW THE AGE OF 18 AT THE TIME OF REGISTRATION)
This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all Releases, and for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releases from any and all liabilities incident to my minor child’s involvement or participation in these programs as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE.
I/We hereby grant consent to any and all health care providers designated by East Haddam Park and Recreation to provide me/my child any necessary care as a result of any injury/illness. This consent includes first aid and transportation to/from health care providers.