Republic Bank YMCA Guest Registration: Family Fit Fun Day
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First Name
Last Name
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Member/Guest Release
Member/Guest Release:I understand that participation in the YMCA activities includes the risk of injuries, illnesses or death. I expressly acknowledge on behalf of myself and my heirs that I assume the risk of any and all injuries and illnesses, which may result from my participation in these activities. I hereby release and discharge the YMCA, its agents, servants, and employees from any and all claims for injury, illness, death, loss or damage which I may suffer as a result of my participation in these activities.The YMCA conducts regular sex offender screenings on all members, participants, and guests. If a sex offender match occurs, the YMCA reserves the right to cancel membership, end program participation, and remove visitation access. I understand that the YMCA cannot be responsible for personal property lost or stolen while guests, members, and/or program members are using the YMCA facilities or on YMCA premises.There may also be times when the YMCA may take photographs (or other digital images) of myself or my children participating in activities. Those images may appear in the YMCA’s promotional materials or publications, including electronic publications. By signing this form, I am giving permission to the YMCA to use my image or those of my children for the purposes listed above
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