This waiver is for children participating in open gym/open playground who are not attending with their parent/guardian. Child must bring waiver be allowed to participate. This signed waiver is valid for the 2019 calendar year.
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“The undersigned states that he/she understands that The Johnson County Park and Recreation
District is not and shall not be responsible for or liable for any illness, or injury to person or damage to
property resulting from the program in which the undersigned is enrolling or being enrolled or from
his/her participating in said program, and the participant and the undersigned, if the participant is a
minor or under other legal disability, hereby forever releases and holds harmless the said Johnson
County Park and Recreation District, it’s employees, agents and representatives from any and all
claims of any kind that the participant, or the undersigned or their respective heirs, executors,
administrators, or assigns may have or claim to have resulting from participation in said program.
NOTICE: By enrolling in this program you hereby acknowledge the Johnson County Park and
Recreation District can and may photograph and/or video tape program participants and then use such
images, without payment or any other consideration, for purposes of publicizing District parks,
facilities, programs or services, or for any other lawful purpose."
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
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