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Summer 2022 Registration

Download the PDF registration form here or use the online form for the program below.

Parent/Guardian Information

Name & Phone Number
PLEASE READ CAREFULLY!

I UNDERSTAND THAT AS A PARENT OR GUARDIAN OF THE ABOVE PARTICIPANT, EAST HILLS RECREATION COMMISSION DOES NOT PROVIDE INSURANCE FOR ANY INJURIES TO PROGRAM PARTICIPANTS AND THAT INJURIES THAT OCCUR, WILL BE AT OUR OWN EXPENSE! I AGREE TO HOLD HARMLESS, EAST HILLS RECREATION AND EMPLOYEES AND HEREBY RELEASE THEM FROM ANY LIABILITY ON ACCOUNT OF INJURIES SUSTAINED IN ACTVITIES. I HEREBY FOREVER RELEASE AND WAIVE THE RIGHT TO BRING SUIT IN CONNECTION WITH EXPOSURE, INFECTIO, AND/OR SPREAD OF COVID 19 OR ANY OTHER INFECTIOUS DISEASE RELATED TO MY OCCUPANCY OF THE FACILITY. I ALSO HEREBY CONSENT TO THE USE OF MY CHILD’S IMAGE AND/OR VIDEO TO BE USED ON THE EAST HILLS RECREATION EBSTIE AND/OR FACEBOOK PAGE. NO NAMES WILL BE MENTIONED IN REFERENCE TO THE PICTURES.

$ 0.00