I, THE UNDERSIGNED, HEREBY RELEASE,
ABSOLVE, INDEMNIFY, AND HOLD HARMLESS NORRISTOWN, IT'S OFFICIALS, THE DIRECTOR
OF RECREATION, STAFF, OR INSTRUCTORS ANY OR ALL OF THEM, OF ANY INJURY
SUSTAINED OR CAUSED AS A RESULT OF, ME, MY SON, DAUGHTER OR GUARDIAN OF THEIR
PARTICIPATION IN THE EAST NORRITON RECREATION PROGRAM.
I UNDERSTAND THAT THIS IS A MARTIAL
ART PROGRAM WITH CONTACT AND THAT THERE IS A RISK OF PERSONAL INJURY
PARTICIPATING IN THIS PROGRAM. I HEREBY WAIVE ALL CLAIMS AGAINST THE SPONSORS
OF THE NORRISTOWN RECREATION PROGRAM, THE RECREATION DIRECTOR, OR ANY
SUPERVISOR, INSTRUCTOR OR VOLUNTEER BY THEM.
Firma del
Padre / PARENT ---------------------------------------------------------------------