Are you looking for an enjoyable way to spend some time outdoors and explore the beauty of your community? Macomb Township Parks, located in Michigan, are offering a variety of activities that will not only provide entertainment but also get you connected with nature. With various outdoor attractions such as hiking trails, swimming pools, ball fields and much more, there is something for everyone! To make sure you’re properly taken care of during your visit to Macomb Township Parks, it's important to fill out a Recreation Form before each trip. Here we'll explain how the form works and what information is needed so that all visitors can enjoy their stay safely.
|Form Name||Macomb Township Parks Recreation Form|
|Form Length||1 pages|
|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
City _______________________________________________ Zip ___________________ Resident
Phone: Home (____)___________________Cell (____)___________________
Emergency Contact Name: __________________________________________ Relationship ______________________
Phone: Home (____)___________________ Work (____)___________________ Cell/Pager (____)_________________
FAMILY MEMBERS FIRST & LAST NAME
M / F
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 _____________