I understand that the registered activities and services may have an element of hazard or inherent danger and I take full responsibility for any injury or illness that may occur to myself or my child due to participation in this activity or service. I agree to indemnify and hold the City of Longview, the Community Services Department, and /or school district and its representatives, successors, employees, and volunteers harmless from any liability, loss, cost, or expense (including attorney’s fees, medical, and ambulance costs) that may incur while participating in Community Services activities. In case of emergency, I give my permission for emergency medical treatment. This form shall be considered valid until canceled or changed in writing by the undersigned participant/ parent/ guardian.
By typing your name in the above box, you agree to the terms of this document and acknowledge that all information I have provided is true and correct. By signing this application electronically or manually, I certify that I have read and understand all of the information and agree to these terms and conditions.
This field is not part of the form submission.
* indicates a required field