Wufoo

FIT TO PARTICIPATE: I certify that PARTICIPANT is in good health and of sound body that warrants full participation in the Program and as outlined by the City of Temple Terrace Leisure Services Department Parks and Recreation Division. I certify that PARTICIPANT has had no known recent exposure to a contagious disease, and has no serious illness or injury which would restrict their participation in the Program. (PARTICIPANTS are encouraged to notify Program Supervisor in writing, of their known medical conditions or current medications, in the event that professional emergency care is required.)

PERMISSION TO PARTICIPATE: I accept full responsibility for PARTICIPANT to engage in the elected Program(s) as offered by the Parks and Recreation Division. I understand the nature of the Program, its activities, the dates and hours the Program operates, and fees. I understand that the structure of the Program does not allows minor child PARTICIPANTS to enter or leave the Program site unless accompanied by their parent, guardian or other authorized person listed above, unless a signed note from parent or legal guardian authorizing other permission is presented to staff and is verified.

WAIVER OF LIABILITY: In consideration of the covenants herein contained, I acknowledge that the elected Program or activity may involve physical exertion and contact which may result in injury. I assume all risks incidental to such participation including any risk or hazard in transportation to and from activities and/or school. I hereby waive, release, absolve, and hold harmless the City of Temple Terrace, Buddy Baseball Inc., its employees and elected officials, activity organizers, sponsors, participants and volunteers, for any loss, damage or injury of any nature whatsoever to person or property, and from any claims which arise from participating in any activity associated directly or indirectly with the Program. I further agree that any medical costs resulting from any such injury will be borne by the undersigned.

PHOTOGRAPH, VIDEOTAPE RELEASE: I agree that the Parks and Recreation Division and Buddy Baseball Inc. may take photographs or video of PARTICIPANT during Program activities, and that the Parks and Recreation Division and Buddy Baseball Inc. may release PARTICIPANT’S name along with their picture for publication in newspapers, program brochures, fliers, social media, etc.. I also agree that the Parks and Recreation Division and Buddy Baseball Inc. may use video tape of PARTICIPANT for public relations presentations.