R e g i s t r a t i o n I n f o r m a t i o n
City of Laguna Niguel Parks and Recreation Department
ACTIVITY PARTICIPATION WAIVER
REQUIRED BEFORE START OF FIRST CLASS PAGE 2 of 2
Contact Information :
Crown Valley Community Center 29751 Crown Valley Park Laguna Niguel , CA 92677
( 949 ) 425-5100 Registration @ CityofLagunaNiguel . org
I understand and agree that this is an interactive event / class and agree to act reasonably and professionally at all times during my participation . During live sessions , participants will be able to see and hear anything within audio or camera viewing areas . Accordingly , the event / class coordinator may , in his or her sole discretion , mute and / or restrict video access to participants during the session . Where the participant in the event / class is a minor , the parent or legal guardian must monitor the session to ensure the minor is abiding by these and any other rules and regulations established by the event / class coordinator .
I HAVE CAREFULLY READ THIS RELEASE , HOLD HARMLESS AND AGREEMENT NOT TO SUE AND FULLY UNDERSTAND ITS CONTENTS . I AM AWARE THAT IT IS A FULL RELEASE OF ALL LIABILITY AND SIGN IT ON MY OWN FREE WILL .
_________________________________________________________ DATE : ____/_____/____ ( Signature ) Parent / Guardian must sign for those under 18 years of age
DECLARATION
I , ____________________________________________________, declare under penalty of perjury under the laws of the State of California that I am the parent or legal guardian of Minor . I further declare that I shall indemnify and hold harmless the * ____________ from and against any and all Claims resulting from , incident to , or arising out of Minor ’ s participation in the event / class , any and all risks assumed by Minor and me above , and / or the breach of any promises , covenants , and / or representations made by me herein and / or in the above Release .
By : _________________________________ ( Signature ) Parent / Guardian must sign for those under 18 years of age
Name : _______________________________ Printed Name of Parent / Guardian for those under 18 years of age
Please note : Please be advised that the inclusion of a link to a thirty-party website does not constitute an endorsement by the City of the third party , the website , or the services provided . The City bears no responsibility for the accuracy , legality or content of any third-party sites or services .
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