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NORTH ALLEGHENY SPORTS NETWORK Summer Recreation |
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SUMMER RECREATON PROGRAM
SKILL, INSTRUCTION AND CONDITIONING – 2008
SPONSORED BY: The Joint Recreation Board of Bradford Woods, Franklin Park, Marshall and
McCandless for resident school age children.
DATES/TIMES: June 16, 2008 through August 15, 2008 (except where noted on individual
programs). Each program will have a separate facility and time schedule. Transportation to the respective programs is the responsibility of the parents. Facilities will be closed on Friday, July 4, 2008. Check the schedule listed on the back for program times.
INSURANCE: Each participant is required on their first day of attendance, at each program, to pay $20.00 for services and the insurance program. Payment can be cash or a check made out to Town of McCandless. This is a $50.00 deductible insurance coverage and will supplement any present accident policy held by the family.
The participant should submit the $20.00 fee with this form to the instructor at the location of the activity on the first day of attendance.
2008 SUMMER RECREATION SKILL, INSTRUCTION & CONDITIONING
NAME ______________________________________ AGE _____ PHONE ______________
ADDRESS ___________________________________ ZIP ______ MALE ___ FEMALE ___
ACTIVITY ___________________________________ MUNICIPALITY ________________
RELEASE OF ALL CLAIMS
On this ________ day of ________________, 2008, in consideration of my or my child’s participation in all of the Joint Recreation Board Summer Program activities in which I or my child participate(s), I, intending to be legally bound, do hereby, for myself, my heirs, executors and administrators, waive and release, acquit and forever discharge the Joint Recreation Board or the Town of McCandless, Franklin Park Borough, Bradford Woods Borough, Marshall Township or the North Allegheny School District, or any of their officers, agents, employees, instructors, representatives, successors, and/or assigns and any and all other persons, firms and corporations, whether herein named or referred to or not, from any and all future rights, claims, causes of action, civil or criminal claims, demands, costs, attorney’s fees, loss of service, expenses, compensation, third party actions, suits at law or equity, including suits for contribution and indemnity, of whatever nature, and all consequential damages on account of, or in any way associated with the abovementioned program or with arriving to and/or returning from any activity associated with the program.
I/we further state that I/we have carefully read the foregoing release and know the contents thereof, and I/we sign the same as my/our own free act. I/we acknowledge that signature by either parent or by one guardian hereby bind all parent and/or guardians of any minor participant.
Signature of participant ______________________________________________________________
Signature of Parent and/or Guardian (if participant is a minor) _______
QUESTIONS SHOULD BE ADDRESSED TO ATHLETIC DIRECTOR BOB BOZZUTO AT 724-934-7238