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No emails or URLs allowed

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No emails or URLs allowed

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Salida Parks and Recreation Release of Liability As the participant and/or parent/legal guardian of the minor child listed above, and in consideration for allowing myself or my minor child to participate in  the city's recreation program(s) and activities noted above, and any city recreation program within the next year, hereby acknowledge and agree as follows on behalf of myself and my child:  1. I have requested that I or my minor child be allowed to participate in the city's recreation program(s) and activities recognizing that such participation involves, or may involve, risks, both known and unknown, of physical injury or illness.  2. I represent that I and/or my child is physically capable of participating in the recreation program(s).  3. By signing this release, I, on behalf of myself and my minor child, expressly assume all risks, known and unknown, of injury, illness and property damage to myself, my minor child, or to any third party arising from or related to my or my child's participation in the city's recreation program(s), whether caused by the act, error, omission, or negligence of the city, its employees, officers, or agents, or by another person or cause.  4. By signing this release, I, on behalf of myself and my minor child, expressly exempt, waive, release and discharge in advance the city, its employees, officers, and agent, from any and all claims, liabilities, actions, or damages for injury, illness, or loss that may arise from my or my child's participation in the city's recreation program(s) and activities, whether caused or created by the acts, errors, omissions, or negligence of the city, its employees, officers or agents, or some other person or cause; and I further agree to hold harmless and indemnify the city, its employees, officers and agents, from any and all injuries, damage, loss, claims or demands which arise from or are related to my or my child's participation in the city's recreation program(s) and activities.  5. I understand that this agreement incorporates the entire understanding and agreement between myself, my minor child, and the City of Salida, its officers, employees, agents, and representatives and that it cannot be modified or changed in any way by the statements, promises or representations of any employee or agent of the city; and that this agreement is intended to be as broad and inclusive as permitted by the laws of Colorado, and that if any portion is held invalid or unenforceable, the remaining portions shall continue in full legal force and effect.  6. By executing this agreement I also do hereby authorize the city, its employees, officers and agents, to provide and/or consent to emergency medical or surgical examination and treatment for myself or my minor child in the event of injury or illness occurring to me or my child while participating in any city recreational program or activity.  7. I consent to being photographed participating in Salida Recreation events, and to these photographs being used in marketing publication, online media.  8. I understand that at times I or my minor child will ride buses to/from events and this will release the City of Salida from all liability for any adverse results that may occur. I agree to release the City of Salida and its employees and officers from all liability with reference to the bus transportation. 9.  By clicking "I agree" below, I indicate that I have read this document in its entirety, that I understand it completely, and that it affects my legal rights and the legal rights of my child, and that I, along with all heirs, assigns and personal representatives for myself and my child, agree to be bound by its terms. I also acknowledge that I am providing this waiver and release in advance for the benefit of the city knowing that all possible risks or causes of injury can neither be foreseen nor eliminated.

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{{ 'REQUIRED' | translate }} {{ 'PAYMENT-NAME-MIN-LENGTH' | translate }}

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{{ 'PAYMENT-INFORMATION' | translate }}


{{ 'NAME-ON-CARD' | translate }}

{{ 'REQUIRED' | translate }} {{ 'PAYMENT-NAME-MIN-LENGTH' | translate }}

{{ 'CARD-NUMBER' | translate }}

{{ 'REQUIRED' | translate }} {{ 'INVALID-CREDIT-CARD-NUMBER' | translate }}

{{ 'EXPIRATION' | translate }}

{{ 'REQUIRED' | translate }} {{ 'INVALID-EXPIRATION-DATE' | translate }}

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{{ 'REQUIRED' | translate }} {{ 'INVALID-SECURITY-CODE' | translate }}

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