Recreation On-line Registration
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PO Box 99, 997 Mason Street Morrisonville, NY 12962  
Phone (518) 563-1129  
Fax (518) 561-7845 
email - townofschuylerfalls@charter.net

Town of Schuyler Falls
A Great Place to Live and Grow

Sport - Choose One

Child's Name

Address - 1

Address - 2

City, State, Zip

Phone 

Email

Date of Birth

Age 

Grade

Sex - Choose One

Allergies or Physical Limitations

In case of emergency and I cannot be reached contact:

Contact Name:

Contact Phone:

I am interested in coaching- Name: 

Phone: 

Read below for parent consent form

WAIVER AND RELEASE OF LIABILITY

DISCLAIMER: THE TOWN OF SCHUYLER FALLS SHALL NOT BE RESPONSIBLE FOR ANY INJURY ( OR LOSS OF PROPERTY ) TO ANY PERSON SUFFERED WHILE PLAYING, PRACTICING, OR IN ANY OTHER WAY INVOLVED IN THE TOWN PROGRAM FOR ANY REASON WHATSOEVER, INCLUDING ORDINARY NEGLIGENCE ON THE PART OF THE TOWN OF SCHUYLER FALLS, ITS AGENTS, OR EMPLOYEES.  
In consideration of my child’s participation, I hereby release and covenant no-to-sue the Town of Schuyler Fall, the Town Board of the Town of Schuyler Falls, and any of their employees, instructors, or agents, from any and all present and future claims resulting from ordinary negligence on the part of the Town or others for activities or any activities incidental thereto, wherever, whenever, or however the same may occur. I hereby voluntarily waive any and all claims resulting from ordinary negligence, both present and future, that may be made by me, my child or assigns. Further, I understand that these programs involve certain risks, including but not limited to, neck and spinal injuries, injury to virtually all bones, joint muscles, and internal organs, and that equipment provided for my child’s protection may be inadequate to prevent serious injury. I am allowing my child to voluntarily participate in this activity with knowledge of the danger involved and hereby agree to accept any and all inherent risks of property damage, or personal injury. In addition, I understand I may not always be there and in the event of an emergency, I hereby give permission for my child to be given emergency first aid treatment and or to be examined and treated at the nearest medical facility. I FURTHER AGREE TO INDEMNIFY AND HOLD HARMLESS the Town of Schuyler Falls and others listed for any and all claims arising as a result of my child’s engaging in or receiving instruction in Town activities or any activities incidental thereto, wherever, whenever, or however the same may occur. I understand that this waiver is intended to be as broad and inclusive as permitted by the laws of New York and agree that if any portion is held invalid, the remainder of the waiver will continue to full legal force and effect. I further agree that the venue for any legal proceedings shall be in New York. I affirm that I am of legal age, the child’s legal guardian and am freely signing this agreement. I 
have read this form and fully understand that by signing this form, I am giving up-legal rights and/or remedies which may be available to me for the ordinary negligence of the Town of Schuyler Falls or any of the parties listed above.


By pressing submit I agree to all terms above of the WAIVER AND RELEASE OF LIABILITY






















































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