CHARITY OPEN DISCLAIMER

Print and mail your check to the address below.
If your disclaimer was not completed online, then also complete and include this disclaimer.

Catonsville Recreation & Parks Council

c/o Rick Wiker

705 River Rd

Sykesville, MD 21784

 

Make Checks payable to: Catonsville Recreation & Parks Council

 

Baltimore County requires all registrants to sign the following disclaimer. If you are under age 18, please have your parent or guardian sign for you.

 

ACKNOWLEDGEMENT, WAIVER AND RELEASE OF LIABILITY:

I hereby confirm participant is in good health and able to participate in the activity. I acknowledge the activity may involve risk and danger of bodily injury or death. I fully accept and acknowledge the activities may involve risk, and I hereby assume the risk and responsibility for all dangers and risks associated with the participant in the activity. I further understand that concussion information is available at www.cdc.gov/concussion

 

I acknowledge Baltimore County, Maryland, the recreation council, and their respective employees, directors, officers, volunteers, members, the American Red Cross, and any other participant, entity, party or person involved in any regard with the activity or the activity premises and their respective agents, personal representatives, heirs, employees, contractors, successors and assigns (each activity representative and collectively the activity representatives), shall not be responsible or liable in any regard or manner for any and all property damage or bodily injury (including serious physical injury or even death) incurred by participant or any party related thereto as a result of his/her participation in the activity.

 

I have read, fully understand, and hereby freely sign, approve of, and agree to the terms of this registration form. I hereby unconditionally release, discharge, covenant not to sue, waive my rights and remedies, and agree to hold harmless the activity representatives from any and all claims, costs, demands, losses, damages, or expenses associated with, in whole or in part, participantÕs involvement with the activity. I certify all answers and information provided on this registration form are to the best of my knowledge true and correct throughout the activity. I shall inform the recreation council in writing if any information provided in this registration form is incorrect or changes through the course of the activity. I understand Baltimore County and/or the recreation council do not perform criminal and/or background checks on activity representatives. I shall present a government issued photo identification card including, but not limited to, my drivers license, passport, or United States Visa to the activity representative for review, if requested, at the time I submit this registration form to the recreation council

 

ParticipantÕs Name ______________________________________________

 

Signature of Participant (if 18 or older)   ­­­­­­­­­­­­­­­­­­­­­______________________________

 

If participant is under age 18:

      Signature of parent or Guardian:___________________________________

     

     Print Name of Signatory: ________________________________________

 

      Relationship to Participant: ________________

 

Date Signed: ___________________________________________________