County Parks & Recreation Waiver Form
County Parks & Recreation Waiver Form
Participant full name
*
First Name
Last Name
Date of birth
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Participant phone number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Activity or program
*
Please Select
Sports and athletics
Arts and crafts
Outdoor recreation
Aquatics
Classes and workshops
Other
Participation date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Emergency contact full name
*
First Name
Last Name
Emergency contact phone number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/guardian full name
*
First Name
Last Name
County Parks & Recreation Waiver Form: I understand that participation in parks and recreation activities involves inherent risks, including the possibility of injury or property damage. I voluntarily accept these risks for myself or the minor participant named above and release the county and its parks and recreation staff, representatives, and volunteers from liability for claims arising from participation, except where caused by their negligence or misconduct.
Signature of participant or, when applicable, parent/guardian
*
Submit Waiver
Submit Waiver
Should be Empty: