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Metro Beach Sports Registration Form -Summer Camps at Pier 6
Please register if your camp wishes to visit Pier 6 at the Brooklyn Bridge Park this summer. We will be holding free volleyball coaching clinics for your children on Tuesdays and Fridays from 12noon-3pm. There is no charge. There are also playgrounds and Splash decks at Pier 6.
Camp Name:
Contact #1 (Camp Supervisor):
Contact #2 (Accompanying children):
Phone #1: (Camp Supervisor):
Phone #2: (Accompanying children):
Email:
Address:
Date(s) Requested:
(Tuesdays & Fridays, Noon-3pm July & Aug.)
Number & age range of
children visting Pier 6:
How will you get to Pier 6?
Very Important:
By clicking on the "I agree" and "submit" buttons below, I agree to abide by all the laws and conditions of visiting Pier 6, including the responsibility for all the children under your supervision
ASSUMPTION AND ACKNOWLEDGMENT OF RISKS AND RELEASE OF LIABILITY AGREEMENT In consideration of being allowed to participate in any way for the NYSOL Inc. , Metro Beach Sports League "the corporations" their related events and activities, the undersigned, acknowledges, appreciates, and agrees that: 1) The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and, 2) I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation and the children under my supervision; and, 3) I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will bring such to the attention of the nearest official immediately; and 4) I, for myself and on behalf of my heirs, assigns, ,children in my supervision, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS the "corporation," its officers, officials, agents and/or employees, other participants sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of premises used to conduct the event ("Releases"), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law. I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISKAGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
I agree, signed:
(please type your name)
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