The Macomb Township Parks Recreation form is integral for individuals and families looking to participate in recreational activities or use the facilities offered by the township. This document, essentially a daily waiver, requires thorough completion and legibility to ensure the safety and accountability of all parties involved. It begins by collecting detailed household information, including the designation of the head of the household, their birthdate, and gender, while also distinguishing between residents and non-residents to tailor the experience and responsibilities accordingly. Contact details are meticulously gathered, not only for immediate family members but also for emergency contacts, illuminating the township's commitment to safety and preparedness. Furthermore, the form requests information on medical conditions or special needs, demonstrating a person-first approach to accommodate all participants. The crux of the form lies within the Macomb Township Release Agreement, a comprehensive legal statement requiring signatories to release the township and its representatives from liability for personal injury, property damage, or death that might occur during participation in activities or use of facilities, highlighting the inherent risks involved. This agreement also encompasses conditions around indemnification, risk assumption, and the legal ramifications of signing the document, including a clause that specifically addresses the rights and responsibilities of legal guardians or custodial parents of minor participants. Overall, this form encapsulates a careful balance between facilitating community engagement in recreational activities and safeguarding the interests and well-being of all involved, underpinned by legal prudence.
| Question | Answer |
|---|---|
| Form Name | Macomb Township Parks Recreation Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | waives, releasee, releasees, inclusive |
MACOMB TOWNSHIP PARKS & RECREATION
RECREATION CENTER DAILY WAIVER FORM
(Please print & fill out this form completely & legibly)
HEAD OF HOUSEHOLD ______________________________________ BIRTHDATE:______________ FEMALE MALE
Address ___________________________________________________________________________________________
City _______________________________________________ Zip ___________________ Resident
Phone: Home (____)___________________Cell (____)___________________
Emergency Contact Name: __________________________________________ Relationship ______________________
Phone: Home (____)___________________ Work (____)___________________ Cell/Pager (____)_________________
FAMILY MEMBERS FIRST & LAST NAME
DATE OF
BIRTH
GRADE
RELATIONSHIP
M / F
PHOTO TAKEN
Medical Conditions or special needs we should be aware of __________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
MACOMB TOWNSHIP RELEASE AGREEMENT
In consideration of being permitted to participate in the township activity or use of any facilities in connection with this activity, the undersigned agrees to the following:
1.The undersigned hereby releases, waives, discharges and convenants not to sue Macomb Township, it’s employees, officers and agents (herein referred to as “releasees”) from all liability to the undersigned his or her personal representatives, assigns, heirs, and next of kin for any loss, damage, or claim therefore on account of injury to the person or property of the undersigned whether caused by any negligent act or omission of the releasees or otherwise while the undersigned is participating in the Township activity or using any facility in connection with the activity.
2.The undersigned hereby agrees to indemnify and hold harmless the releasees from all liability, claims, demands, causes of action, charges, expenses, and attorney fees (including attorney fees to establish the releasee’s right to indemnify or incurred on appeal) resulting from involvement in this activity whether caused by any negligent act or omission of the releasees or otherwise.
3.The undersigned hereby assumes full responsibility for and risk of bodily injury, death or property damage while upon Township property or participating in the activity or using any facilities and equipment whether caused by any negligent act or omission of releasees or otherwise.
The undersigned expressly agrees that the foregoing release and waiver, indemnity agreement and assumption of risk are intended to be as broad and inclusive as permitted by Michigan law and that if any portion thereof be held invalid, notwithstanding, the balance shall continue in full legal force and effect.
I acknowledge that I have read the foregoing and that I am aware of the legal consequences of this agreement, including that it prevents me from suing the Township or its employees, agents, or officers if I am injured or damaged for any reason as a result of participation in this activity. I further acknowledge that no oral representation; statements or inducements have been made.
If the participants are minors, his or her custodial parent or legal guardian must read and execute this agreement: I hereby warrant that I am the legal guardian or custodial parent of the above listed persons who are minors, and agree, on my own and on said minor’s behalf to the terms and conditions of the foregoing agreement.
Signature ______________________________________ Print Name ______________________________ Date _______
Staff Initials _____________