Citizen Action Center

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 Fishing Derby Registration Form
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*THE PARTICIPANT, INTENDING TO BE LEGALLY BOUND FOR THEMSELVES AND THEIR HEIRS, EXECUTORS, AND ADMINISTRATORS, WAIVE AND RELEASE ALL CLAIMS FOR INJURIES AND DAMAGES THEY MAY HAVE AGAINST THE CITY OF FAIRBORN, PARKS & RECREATION DEPT., ALL OFFICIALS AND EMPLOYEES OF THE DEPT., AND THEIR SUCCESSORS AND ASSIGNS FOR ANY AND ALL INJURIES AND DAMAGES SUFFERED IN CONNECTION WITH PARTICIPATION IN YOUTH PROGRAMS.
*I FURTHER GRANT PERMISSION TO THE CITY OF FAIRBORN TO USE MY CHILD'S NAME LIKENESS, PICTURE, AND/OR VOICE IN PRINTED OR AUDIO/VISUAL MATERIALS TO PROMOTE PARK ACTIVITIES IN THE CITY OF FAIRBORN.