Date: Wednesday, April 12, 2023
Northside Community Center
8005 Oak Grove Plantation Rd
Tallahassee, FL 32312
PLEASE COMPLETE REGISTRATION FORM & WAIVER ACKNOWLEDGEMENT BELOW!
I affirm that I (or my minor child that I am signing for) have no medical, physical, or mental health conditions which would hinder or prevent my active participation in the referenced activity, and that I am voluntarily participating in this activity. I understand that there exist certain injuries associated with participation in the above listed activity which may include but not be limited to exposure to COVID-19, broken bones, muscle injuries, heat exhaustion and other similar or related injuries, including death. I accept the risk for any and all injuries resulting from my participation, including those injuries that might happen or occur en route to and from my activity, as well as during the entire participation period of such activity. Because of the potential dangers of participating, I recognize the importance of wearing appropriate protective equipment, and following the supervisors’ instructions. In consideration of my participation, I hereby release, hold harmless, and discharge forever Northside Community Center, the FLA Foundation, and the officers, directors, employees, agents, representatives, successors and assignors of each of the foregoing entities from any and all present and future claims, liability, and demands for property damage or costs or expenses arising as a result of, or in connection, with my participation in this activity. I have carefully read and understand this document and affirm that I am freely signing this agreement relying on my own judgment and knowledge.
Register for the Kickin' Cancer Game!
April 12 at 6 p.m. at Northside Community Center