Waterford Summer Adventure Program Registration Form

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Additional Information (not required but helpful information) IEP, Special needs, disabilities, physical limitations, aide required, anxiety, shy, etc.

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Parent/Guardian Contacts: (Parent/Guardians are always called first before emergency contact)

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Additional Emergency Contacts: (Authorized to act on parent/guardian behalf)

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Other people authorized to pick up youth (Must be 16 years or older and required to show ID)

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PLEASE READ THE FOLLOWING CAREFULLY.  BY SIGNING BELOW, YOU AGREE TO THE FOLLOWING WAIVER.

I hereby grant permission for my child to participate in the Youth Sports and Sports Education – Waterford Summer Adventure Program.  I fully understand and acknowledge that there are inherent risks and dangers associated with my child’s participation in the Youth Sports and Sports Education Program.  I also recognize the difficulties and challenges involved in indoor and outdoor sports and recreation programs, and that my child is sufficiently physically and psychologically fit to participate and has not been advised otherwise by a physician.
I agree to indemnify and hold harmless the Town of Waterford, the County of Saratoga, the Waterford Senior Center, Durham Transportation Services and businesses participating in the Youth Sports and Sports Education Program, its employees, and personnel from any and all claims, causes of action, liability for injuries or damages which may arise as a result of participating in this program, including but not limited to reasonable attorney’s fees and the costs and disbursement of any legal actions and extending to employees, personnel, volunteers, instructors, etc. in responding to any emergency and/or medical situation or event.