IN Millcreek Summer 2014 | Page 18

Waiver and Release of Liability illcreek Millcreek Township - Recreation & Parks On behalf of all participants, adults, minors and parents of participating minors in Millcreek Township Recreation and Parks Department programs. On behalf of myself and any of my minor children listed below as applicants, I give permission to attend and participate in the program for which application is attached. I understand that the Recreation and Parks Commission of Millcreek Township, Millcreek Township and the Millcreek Supervisors, and the Millcreek Township School District assume no liability for injury incurred as a result of any participation in any of the various activities of the Recreation and Parks Department of Millcreek Township. On behalf of myself and on behalf of any of my minor children participating hereunder, I agree to release, give up, forego, waive and discharge the Recreation and Parks Commission of Millcreek Township, Millcreek Township and Supervisors, Millcreek Township School District, their officers, representatives, and employees from any and all liability, claims, demands, causes of action arising out of or in any way connected with any programs being PARENT OR GUARDIAN OF MINOR CHILDREN operated by the Recreation and Parks Department of Millcreek Township. The undersigned hereby assumes all risk of injury or [XY