Full Text
Office Use only MURRAY PARKS & RECREATION Mailing Address : P O Box 67620 F ne( ; 00 )2`62 ; care TEAM ROSTER New Teem RelumingTeem Cosh Program Phone Work Team Name Home Phone PARKS & RECREATIO N Team Manager Address Email Address City&Zipcod e Name Address City Zip Code Birthdate Grade Parent/Guardian Signature 1 2 S 4 6 6 7 8 9 10 1 1 12 If a participant is under 18 years of age, a parent or legal guardian must sign the roster. LIABILITY RELEASEAND PERMISSION TO PARTICIPATE In consideration of the acceptance of my application for the above activity, I hereby waive, release, and discharge any and all claims for damages for death, personal injury, or property damag e which my child may have, or which may hereafter accrue as a result of participation in said event . It is understood that some recreational activities Involve an element of risk or danger of accidents , and knowing those risks, I hereby assume those risks. It is further understood and agreed that this waiver, release, and assumption of risk is to be binding on my heirs and assigns. I have read and understood the foregoing registration, release, and consent to treat form and agree to all of their terms and conditions . TEAM MANAGER'S AGREEMENT As Team Manager, I understand that the Information listed above Is accurate to the best of my ability . I realize that my team or player(s) can be removed from participation for falsifying the roster or information needed on this form . Signature Date