Bradford Parks & Recreation 172 N. Main St

Adult Waiver & Release of Liability 18 & Over (Read Before Signing)

In consideration of being allowed to participate in any way in BRADFORD PARKS & RECREATION ACTIVITIES, the participant agrees that: 1) The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist. 2) I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF

VOLUNTEERS (hereafter the "Town"), and assume full responsibility for my participation. 3) I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately. 4) For myself and on behalf of my heirs, assigns, personal representatives, and next of kin, I HEREBY RELEASE AND HOLD HARMLESS the Town, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event, WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

Check or Cash is accepted for payment and must be received prior to enrolling in the program.

Bradford Parks & Recreation 172 N. Main St

- Picture Release^ From time to time the Valley News, Journal Opinion, and other photographers attend Parks & Recreation Department activities and take photos and/or videos of program participants for publication (print, web, Facebook By signing below, I authorize the Bradford Parks & Recreation and others to be able to photograph and use photos of myself or my child for newspaper articles, brochures, the town website, and other appropriate publications. If unsigned, then I do not authorize the above.