Please read carefully
Members in my household (hereafter "participant") have permission to participate in the activities of the Barrington Recreation Department (hereafter "TOWN"). This permission slip is valid unless it is revoked in writing by the participant. I understand and accept that the activities of the Town involve strenuous athletic pursuits that include, but are not limited to, the risk of physical contact, physical injury, and other inherent risks. In consideration of the participant being permitted to participate in the activities of the Town, in consideration of the instruction the participant is to receive and for other valuable consideration, I hereby agree on behalf of myself and the members of my household to indemnify and hold the Town of Barrington and all their officers, agents, employees, coaches and volunteers harmless from and against any and all claims of any sort whatsoever arising out of or in connection with participation in Town activities.
ADDITIONALLY, THIS AGREEMENT SHALL APPLY TO ANY CLAIMS ARISING FROM OR THROUGH THE NEGLIGENCE OF THE TOWN OR IT'S OFFICERS, AGENTS, EMPLOYEES, COACHES AND VOLUNTEERS.
(Minor child participant only): In the event of a medical emergency, I hereby give permission to administer first aid as deemed necessary. Further permission is given to allow medical services to be performed by doctors, hospitals or other qualified medical
Emergency Contact Disclaimer: In case of an emergency, I authorize transport & treatment by qualified personnel.
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