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Class Registration Form

  1. Camp sign ups only.

  2. Release of Liability*

    In consideration of you accepting my or my child's registration, I hereby, for myself, my child, my heirs, executors and administrators, wavier and release any and all rights and claims for damages I or my child may have or may acquire in the future against the City of Beavercreek and its representatives, successors and assigns for any and all injuries suffered by myself or my child in connection with the said program(s). I do hereby grant and give these groups the right to use my or my child's photograph or image with or without my child's name, both singly and in conjunction with other persons or objects and presentations, advertising, publicity, and promotion relating thereto. I warrant that I have the right to authorize the foregoing uses and do hereby agree to hold the City of Beavercreek and its representatives, successors and assign harmless of and from any and all liability of whatever nature which may arise out of or result from such program(s). For the consideration stated above, I further agree that in the event that my child repudiates or attempts to repudiate such release, I will personally indemnify and safe harmless the City of Beavercreek Parks, Recreation and Culture Department, its successors and assigns, for any and all loss and damage occasioned thereby.

  3. Payment Method

  4. I am paying with a:

  5. Mail forms and payment to:
    City of Beavercreek
    Parks, Recreation, and Culture
    789 Orchard Lane
    Beavercreek, OH 45434

  6. Leave This Blank: