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MARANA PARKS & RECREATION - ACCOUNT INFORMATION

ACCOUNT INFORMATION

Gender:

Residential Address:

Yes! Please E-mail me periodic updates.

Mailing Address: (If different from above)

EMERGENCY CONTACT INFORMATION

ADDITIONAL FAMILY MEMBERS

Gender:

Gender:

Gender:

Gender:

ONLINE ACCOUNT

Access your Marana Parks & Recreation account online and register for activities at: http://activenet13.active.com/marana

RELEASE AND INDEMNIFICATION AGREEMENT

Notice is hereby given that Parks and Recreation activities, events, programs, and sports leagues may be photographed for promotional materials. In consideration of acceptance into the above-referenced Town of Marana activity, I do hereby, for myself, my child/ren, my heirs, executors and assigns, release the Town of Marana and the officials, officers, agents and employees of the Town from liability for any harm, injury, or damage, which I, or my minor child/ren, may suffer while participating in the above-described activity. This includes all risks that are connected with this activity whether foreseen or unforeseen. I agree to indemnify and hold the Town of Marana and its agents, officials and employees harmless from any damage to persons or property, resulting from my, or my minor child/ren's, negligence and/or intentional acts. I assume the responsibility of mental and physical fitness for myself and my minor child/ren to participate in said activity, and agree to abide by all rules and requirements of the activity. I am of lawful age and legally competent to sign this Agreement for and in behalf of myself and/or my minor child/ren. By signing below, I acknowledge that I have read and understand the terms of this Release and Indemnification Agreement and agree that I shall be bound by its terms and conditions.

By submission of this form, I acknowledge that, pursuant to ARS § 33-1551, as a recreational or educational user I accept the risk created by my activity and shall exercise reasonable care in my activity. I further acknowledge that I am liable for any damage to Town of Marana property that I may cause while on Town of Marana property. I further acknowledge that the Town of Marana is not liable for unknown conditions on its property.

I certify that I am the named applicant or am the parent or legal guardian of the named minor in the attached application.

Signature of Account Holder:

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Date:

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