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  1. Is there a physical, medical, or mental condition that may limit his/her full participation in this program?*
  2. Check the program you are participating in*
  3. General Release

    For the Participant, Parent or Guardian:

    I understand the inherent dangers involved in fitness and aquatic programs that may lead to possible accident, injury or death. I feel confident that my child will be able to understand and follow all safety precautions. I also understand that there will be no refunds given.

    The undersigned jointly and severally hereby forever release, discharge, acquit, and forgive Eagle Pointe Recreation Complex, their agent, employees, contractors, and volunteers, from any and all claims, actions, suits, demands, agreements, and each of them, if more than one, liabilities, judgment and proceedings both at law and in equity arising from the beginning of time to the date of these presents. This release shall be binding upon and inure to the benefit of the parties, their successors, assigns and personal representatives.

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