Brentwood

BRENTWOOD RECREATION DEPARTMENT

Youth Flag Football Online Registration

As a participant or parent/guardian of a child in the below listed
Brentwood Recreation Department sport/activity, I am aware participation
may involve risk of injury. I agree to assume all risks and hazards
incidental to the program(s), including transportation to and from the
site of said program. I hereby waive, absolve, indemnify and agree to
hold harmless the Town of Brentwood, the Brentwood Recreation
Department, The Brentwood Recreation Commission, supervisors,
instructors and participants from all claims, demands of chance on
account of any and all injuries to persons or property that may result
by virtue of participation in said activities. I give my permission for
my child to be treated by qualified medical personnel in the event that
the parent/guardian named above cannot be reached. Participants may be
photographed for Town of Brentwood promotions. Registrations for
programs will be accepted on a first come, first serve basis. Please
call the Recreation office if you have any questions.

** Please note:  Fields denoted with a *  are required fields and must be filled in to submit this form.

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Participant Information
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Parent/Guardian Information
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Emergency Contact Information
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Please initial below to verify information and agree to terms. If participant is under 18 yrs. of age the Parent/Guardian must type their initials below and thereby agrees to the conditions at the top of this page
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