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Hop Scotch Toys - DISC GOLF CLINIC (YOUTH)

  1. WHEN:

    SUNDAY - OCTOBER 3, 2021
    12:30 - 1:30 PM

  2. WHAT:

    NO COST
    YOUTH DISC GOLF CLINIC


  3. WHERE:

    MINT VALLEY GOLF COURSE
    4002 PENNSYLVANIA STREET
    LONGVIEW, WASHINGTON

  4. LIABILITY WAIVER:
  5. ADA Submission:*

    I agree to notify the organizers two weeks in advance if the above participant has a disability needing special arrangements, assistance, or any condition which would limit the participant in this activity. 

  6. Insurance Coverage:*

    I understand The City of Longview and the organizers do not provide medical or accident insurance coverage and is not responsible for personal articles lost or stolen. 

  7. Photo Release:*

    I allow photographs taken during City programs to be published without limitation for non-commercial purposes.

  8. Assumption of Risk, Waiver and Release:*

    I am fully aware of the fact that there are special dangers and risks inherent in this activity, including, but not limited to, the risk of serious physical injury, death or other harmful consequences that may arise or result directly or indirectly to me from my participation in this activity. Being fully informed as to these risks and in consideration of my being allowed to participate in City sponsored activities, I hereby assume all risk of injury, damage, liability and harm to myself arising from such activities. I also hereby individually and on behalf of my heirs, executors and assigns, release and hold harmless the City of Longview, their officials, employees and agents and waive any right of recovery that I might have to bring a claim or a lawsuit against them for any personal injury, death or other consequences occurring to me arising out of my voluntary participation in this activity, except for the sole negligence of the City of Longview.

  9. Parent/Guardian Acknowledgement:*

    I certify that I am the parent or legal guardian of the participant named above; that I have read and understood the foregoing release and that I join the release without reservation, granting full consent and authorization for the above named person to participate in the activity.

  10. For additional information or questions please contact __________________________________
  11. Leave This Blank:

  12. This field is not part of the form submission.