Skip to main content

Swimming Pool Waiver 2024

PARADISE RECREATION AND PARK DISTRICT AGREEMENT, WAIVER, AND RELEASE - REGISTRATION APPLICATION


To register for class by mail, complete the registration application; PRINTING in ink, all requested information. Be sure to sign the bottom of the form. Return the completed application along with payment to Paradise Recreation and Park District, 6626 Skyway, Paradise, CA 95969. Payment should be made by check, payable to “PRPD”. To complete the registration process you must include a self-addressed stamped envelope so we can return your receipt and registration confirmation. Mail-in registration will be accepted after those persons registering in person and does not guarantee program enrollment.

In consideration for being permitted by the District to participate in the above-referenced activity, I hereby waive, release, and discharge any and all claims for damages for personal injury, death, or property damage which I may have, or which may hereafter accrue to me, as a result of participation in said activity. This release is intended to discharge in advance the District (including its officers, employees, volunteers, and agents) from any and all liability arising out of or connected in any way with my participation in said activity, even though that liability may arise out of active or passive negligence or carelessness on the part of the persons or entities mentioned above. It is further agreed that this waiver, release and assumption of risk is to be binding on my heirs, administrators, executors, and assigns and that I shall indemnify and hold the District (including its officers, employees, volunteers, and agents) free and harmless from any loss, liability, damage, cost, or expense which may arise out of or connected in any way with my participation in said activity. Additionally, I fully understand that my participation in the above-referenced activity exposes me to the risk of personal injury, death, communicable diseases, illnesses, viruses, and/or property damage. I hereby acknowledge that I am voluntarily participating in this activity and agree to assume any such risks. VIRTUAL CLASS RELEASE: I hereby warrant and agree, that the conditions of my environment are safe, free from obstructions, and are suitable for participation in the above-referenced activity. I further understand and agree that any material downloaded, viewed or otherwise obtained through my participation in said activity is done at my own risk and the District is not responsible for any loss, alteration, corruption or other damage to my personal property, including computers, networks and other property used as part of my participation. PHOTOGRAPHIC RELEASE: I understand that photographs may be taken during this activity and hereby grant the District permission to use any such photo(s) for advertising or in promotional materials.

Parental Consent (To be completed and signed by parent/guardian if applicant is under 18 years of age.)

I HAVE CAREFULLY READ THIS AGREEMENT, WAIVER, AND RELEASE AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN MYSELF AND THE PARADISE RECREATION AND PARK DISTRICT AND I SIGN IT OF MY FREE WILL
Confirm e-Signature
Read our Electronic Record and Signature Disclosure
Streamline Verify
There was a problem saving your submission. Please try again later.
Please wait while your submission is being saved...
Thank you, your submission has been received.