CONSENT AND INDEMNIFICATION: I/We, as parents and/or
guardians of the above-named, hereby give my/our consent to my/our participation
in all activities of the Waukee Parks and Recreation programs during the
current session. I/We assume all risk and hazards incidental to such participation,
including transportation to and from such activities. I/We are fully aware
of the potential injury or damage, which may occur as a result of participation
in such activities. I/We hereby waive, release, and absolve the City of
Waukee, the City of Waukee Park and Recreation Committee, local organization
of volunteers and sponsors, supervisors, participants and persons transporting
the above-named to and from activities, from any claims or demands; and
I/We hereby agree to indemnify such persons against any claims or demands
arising out of my/our participation in such activities, except as may
be covered by insurance.
Submit or Print this form and make checks payable to Waukee Parks and
Recreation and send to: Mailing address: 230 Hwy 6 Waukee, IA 50263
Waukee Parks and Recreation Office1205 6th Street Waukee,
IA 50263 Phone: 515-987-4363 Fax: 515-987-3979
