Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.I hereby agree to comply with the rules and regulations of the Tot Enrichment Program regarding fees, attendance, health, parking, clothing, and other items specified in the Policy issued by Rockland Recreation each year. I am aware of the scheduled school holidays. Further, I agree to notify the Rockland Recreation Office in writing two weeks in advance of withdrawal, should such an event occur, or pay the difference. I, the parent/guardian of the minor, give permission for the registrant to participate in programs sponsored by Rockland Recreation. I/We understand that the Rockland Recreation will provide supervision for the safety and wellbeing of the registrant, and I/We agree that the registrant will abide by the rules of the Rockland Recreation and the Town of Rockland and follow the instructions of all supervisory staff, including sponsors, employees, volunteers and other personnel. I recognize the risk of injury or accident related to the activity. I also acknowledge that the registrant may not participate in the activity unless I waive claims, which I may have arising from the registrant's participation in the activity. I agree to forever RELEASE the Town of Rockland, a municipal corporation of the Commonwealth of Massachusetts, and all their employees, officers, agents, board members, volunteers and any and all individuals and organizations assisting or participating in voluntary athletic or recreation programs of the Town of Rockland ("the Releasees") from any and all claims, actions, rights of action and causes of action, damages, costs, loss of services, expenses, compensation and attorneys' fees that may have arisen in the past, or may arise in the future, directly or indirectly, from known and unknown personal injuries to my child or property damage resulting from my child's participation in the Town of Rockland's voluntary athletic or recreation programs which I may now or hereafter have as the guardian of said minor child and which said minor child has or hereafter may acquire, either before or after reaching majority. I also promise to INDEMNIFY, REIMBURSE, DEFEND, and HOLD HARMLESS the Releasees against any and all legal claims and proceedings of any description that may have been asserted in the past, or may be asserted in the future, directly or indirectly, including damages, costs and attorneys' fees, arising from personal injuries to my child or property damage resulting from my child's participation in the Town of Rockland's voluntary athletic or recreation programs. I further affirm that I have read this Guardian Consent, Release from Liability, and Indemnity Agreement, and that I understand the contents of this Agreement. I understand that my child's participation in these programs is voluntary and that my child and I am free to choose not to participate in said programs. By signing this Agreement, I affirm that I have decided to allow my child to participate in the Town of Rockland Recreation athletic or recreation programs with full knowledge that the Releasees will not be liable to anyone for personal injury and property damage my child or I may suffer in voluntary Town of Rockland Recreation athletic or recreation programs. Permission is granted for the use of photographs taken in promotional material which may include but is not limited to flyers, notices and bulletin boards. Guardian of Participant *FirstLast Date Name of Guardian Signature * Clear Signature Name of Child *FirstLastDate *Submit