Program Registration Form or Child Care Payment

If no Fee leave blank

I, the above named participant for participation in the above named activity, freely and willfully, without coercion or pressure of any kind, waive any claim for bodily injury or property damage against the Eastern York Area Recreation Commission, the Eastern York Area Recreation Board, Lower Windsor Windor Township, East Prospect Borough, and Yorkana Borough, the respective supervisors, employees and volunteers during the participant's association with the activity. In addition I give permission for the above named participant to be photographed during the above named activity for promotional pruposes.