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KENT COUNTY, MARYLAND
PARKS AND RECREATION DEPARTMENT

P.O. Box 67
10932 Worton Road
Worton, MD, 21678
Phone (410)778-1948· Fax (410)778-4602
E-mail Address jtroester@kentgov.org



PERMISSION AND RELEASE FOR MINORS

GENERAL

Before participation in any Kent County Parks and Recreation program, participants or parents of minor participants are required to sign a statement of permission and release to be filed at the administrative office of Parks and Recreation


STATEMENT OF PERMISSION AND RELEASE FOR MINORS

I hereby give permission for my child to attend all trips and activities sponsored by Kent County Parks and Recreation. I also give my permission for my child to be photographed or video taped for purposes of advertising and historical archiving of all Kent County Parks and Recreation sponsored activities and programs while he or she is a participant.

In consideration of Kent County Parks and Recreation accepting my child into this program, I agree to release and discharge Kent County, its employees and agents from any injuries sustained by my child as a result of participation in this program. I agree to indemnify and hold harmless, Kent County, its employees and agents against any liability incurred as a result of such injury or loss. Fitness activities and programs require that my child be in good health and has no condition that could endanger his or her well-being through participation. The Recreation Department will be notified of any such defects in writing prior to enrolling my child in this program.

STATEMENT OF PERMISSION AND RELEASE FOR ADULTS

I hereby give permission for Kent County Parks and Recreation to photograph or video tape me for purposes of advertising and historical archiving of all Kent County Parks and Recreation sponsored activities and programs while I am a participant.

In consideration of Kent County Parks and Recreation accepting me into this program, I agree to release and discharge Kent County, its employees and agents from any injuries sustained by me as a result of participation in this program. I agree to indemnify and hold harmless, Kent County, its employees and agents against any liability incurred as a result of such injury or loss. Fitness activities and programs require that I be in good health and have no condition that could endanger my well-being through participation. The Recreation Department will be notified of any such defects in writing prior to enrolling in this program.


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