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Youth Registration Form

  1. Youth Program Registration Form

  2. kids

  3. The undersigned being the parents or guardian of the child listed below a minor, consent and assent to said child's participation int he athletic ventures, games, and sports events sponsored by the Skowhegan Parks and Recreation Department and /or Skowhegan Sports Boosters, and by this consent and assent do hereby assume all responsibility for any and all injuries and /or damages related thereto the undersigned, jointly and severally, agree to indemnify, protect, and save harmless the Skowhegan Parks and Recreation Department, the Skowhegan Sports Boosters, their officers, directors, agents, servants, and employees from any and all judgements, costs, and expenses whatsoever arising on account of any action, claim, or demand by said minor, or by any person acting for or an behalf of said minor in respect of any claimed injuries or damages. Photographs/Videos: The Department of Parks and Recreation may take pictures and or videos of participants at our programs, activities or special events. Please be aware that the picture and or video may appear in future promotional materials, including our brochures and web site.

  4. Childs Name

    Please fill in the Child's First and Last Name

  5. Child's First Name

  6. Child's Last Name

  7. Male or Female

  8. Age of Child

  9. Parent or Guardian Info:

  10. I (we) give permission for Emergency Medical Treatment to be given to our child, in case I (we) cannot be reached by Phone

  11. When applicable (Please check size) T-Shirt Size:

  12. I would like to volunteer by:

  13. By typing your name here you agreeing to this contract.

  14. For Office Use Only

  15. Leave This Blank:

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