Brentwood

BRENTWOOD RECREATION DEPARTMENT

King Pine

As a participant or parent/guardian of a child in the below listed Brentwood Recreation Department sport/activity, I am aware participation may involve risk of injury. I agree to assume all risks and hazards incidental to the program(s), including transportation to and from the site of said program. I hereby waive, absolve, indemnify and agree to hold harmless the Town of Brentwood, the Brentwood Recreation Department, The Brentwood Recreation Commission, supervisors, instructors and participants from all claims, demands of chance on account of any and all injuries to persons or property that may result by virtue of participation in said activities. I give my permission for my child to be treated by qualified medical personnel in the event that the parent/guardian named above cannot be reached. Participants may be photographed for Town of Brentwood promotions. Registrations for programs will be accepted on a first come, first serve basis. Please call the Recreation office if you have any questions.

** Please note:  Fields denoted with a *  are required fields and must be filled in to submit this form.


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Please initial below to verify information and agree to terms. If participant is under 18 yrs. of age the Parent/Guardian must type their initials below and thereby agrees to the conditions at the top of this page:
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