Adult Fitness with Julie Hoff
April 10, 17, 24 -- 5:30-6:15pm -- Middle School Auditorium $10 drop in, $45 for a 5 pack, $75 for a 10 pack.
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EMERGENCY CONTACT INFORMATION
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Payment method (cash check or card) <Recreation 5 pack for $45, 10 pack for $75 > $10 drop in
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PERSONAL RELEASE LIABILITY AGREEMENT

 

The undersigned acknowledges that this activity is a potentially dangerous activity involving RISK OF PERSONAL INJURY, DEATH AND PROPERTY DAMAGE. I expressly understand and agree that neither the Town of Oak Creek, CO, a municipal corporation, nor any of their officers, agents, volunteers, assistants, or employees shall be held responsible or made the subject of any claim seeking to assess damages or liability for or arising from personal injury or property damage or loss of any other sort to myself or other person in whose behalf this form is now signed as a result of actual or proposed participation in the above named program and I hereby agree to indemnify and hold the Town of Oak Creek, their officers, agents, volunteers, assistants, or employees harmless on account of any such claim.­­­­­­­­­­­­­­­­­

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I hereby give permission for my child(ren)or myself to go on all scheduled trips AWAY FROM THE PREMISES of the program, in the company of a qualified adult, whether on foot or by vehicle, using Oak Creek Parks & Recreation provided transportation when needed. I also give my permission for my child(ren)or self  to be transported by a staff member in a licensed vehicle in the case of an emergency.


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By typing my name in the box below, I am signing this Agreement electronically. I agree my electronic signature is the legal equivalent of my manual signature on this Agreement. I consent to be legally bound by this agreement's terms and conditions.

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