MR Act Participation Sign-In + Liability Waiver Acknowledgement
  • Mobile Recreation Activity Participation Sign-In and Liability Waiver Acknowledgement

  • WAIVER OF LIABILITY & PHOTO RELEASE: In consideration of participation in the City of San Mateo, Mobile Recreation Program, I the undersigned for myself and/or as the parent/guardian of the Minor named above, agree to indemnify and hold the City of San Mateo, it’s elected and appointed officials, employees, and agents (the “City”) harmless and hereby waive, release and discharge any and all claims for damage, for death, personal injury, bodily injury or property damage which I and/or the Minor may have or which hereinafter may accrue to me and/or the Minor against the City from and against any liability arising out of or connected in any way with my and/or the Minor’s participation in this Activity, even though that liability may arise out of ordinary negligence or carelessness on the part of the person or entities mentioned above. I understand that accidents and injuries can arise from participation in this class or activity; knowing the risks, nevertheless, I hereby agree to assume those risks on behalf of me and/or the above named Minor. It is further understood and agreed that this waiver, release and assumption or risks has been freely entered into and is to be binding on my/our heirs and assigns. I have read and agree to the registration and program policies. Further, I agree to allow use of my image and/or that of the named minor, which may be captured through video, photo, digital camera or other media, for City of San Mateo promotional materials and publications. By my signature below, I acknowledge that I have read this document and understand its contents.
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