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MLK Day Kids Camp

MLK Day Kids Camp

Jookender Registration

Child Information

Emergency Contacts:

Jookender Waiver – MLK Day Kids Camp

I, on behalf of my family (and all participants I include into my reservation), voluntarily sign this waiver and assumption of risk in favor of the Jookender Community Initiatives, Inc in consideration for the opportunity to use the owner’s facilities, the facilities rented by or given to Jookender Community Initiatives, Inc, or event set up for the Jookender Community Initiatives, Inc, that will take place Sunday, January 16.

I understand that there are certain risks and dangers associated with the activities and use of the facilities and that these risks have been fully explained to me. I fully understand the danger involved. I fully assume the risks involved as acceptable to our family members and other paticipants I personally register, and agree to use my best judgment in undertaking these activities and follow all safety instructions.

I waive and release Jookender Community Initiatives, Inc. from any claim for personal injury, property damage, or death that may arise from use of the facilities or from participation in the activities of Jookender Community Initiatives, Inc.

In regards to COVID-19, I will comply with https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/prevention.html

I am a competent adult and I assume these risks of my own free will.

Please, sign the document with your full legal name.

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