• Spring Break Field Fest (2-Day) Registration – March 31 & April 1, 2026

    Register your child for the Spring Break Field Fest, a 2-day event held March 31 and April 1, 2026. One form per child.
  • Participant Information

  • Are you a Town Dumfries resident? (for data purposes only, this is a community event)*
  • Which day(s) will you be attending?*
  • Parent/Guardian Information

  • Format: (000) 000-0000.
  • Emergency Contact

  • Format: (000) 000-0000.
  • Health & Safety

  • Media Release

  • Photo / Video Release*
  • Transportation

  • Transportation*
  • Waiver & Release

  • General Release of Liability and Assumption of Risk

    I agree to indemnify, defend and hold harmless, the Town and their officers, agents, and employees from any claims, dangers, and actions of any kind or nature, whether at law or in equity, arising from my participation in the program for which I am registering myself and/or my dependents. I realize that my and/or my child[ren]’s participation in this activity may involve risk of all types of injury, including serious and disabling injuries, such as, but not limited to, tendonitis, strains, bursitis, fractures, delayed muscle soreness, contusions, abrasions, serious eye damage, and death. Knowing these material risks of injury, whether fully known or unknown, I hereby knowingly and voluntarily consent to my and my child[ren]’s participation in the activities for which I have registered and also assume all the risks incident to my or my child[ren]’s participation and the nature of the activities, and further agree that the Town nor any of its officers, agents, employees, or volunteers, shall be responsible or liable for any damages or injuries resulting to me or my child[ren], including any related expenses. Furthermore, I hereby affirm that I or my child[ren] have been given a physician’s permission to participate in physical activity or that I have decided that I and/or my child[ren] will participate in physical activity without the approval of a physician.

  • Signature

  • Signature Date*
     - -
  • Should be Empty: