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ACTIVITY WAIVER FOR TAIL WAGGIN’ TUTOR PROGRAM

As the parent or guardian of a minor child/or as a participant in a City of Boca Raton/Greater Boca Raton Beach & Park District activity or as a user of any City of Boca Raton/ Greater Boca Raton Beach & Park District facility, I hereby waive any claim against the City of Boca Raton/Greater Boca Raton Beach & Park District agents, servants and employees, hereafter arising from injuries to said child/adult, which said injury is caused in whole or in part by the negligence of said City of Boca Raton/Greater Boca Raton Beach & Park District or by the negligence of the agents, servants, or employees of the City of Boca Raton/Great Boca Raton Beach & Park District, and I do covenant to indemnify, hold harmless and defend the said City of Boca Raton/Greater Boca Raton Beach & Park District, its agents, servants, and employees from any claim, damages, or demand hereafter the negligence of said City of Boca Raton/Greater Boca Raton Beach & Park District.

I hereby give permission for the City of Boca Raton/Greater Boca Raton Beach & Park District to call my physician and/or to arrange for transportation to a hospital, in the event of an injury to said child/adult, although I understand that the City of Boca Raton/Greater Beach & Park District assumes no responsibility to do so.


BY SELECTING AGREE I ACKNOWLEDGE THAT I HAVE READ AND FULLY UNDERSTAND THE ABOVE DISCLAIMER STATEMENT AND WAIVE AND RELEASE ALL CLAIMS.