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Milton Parks and Recreation
SPRING JUNIOR TENNIS LESSONS
at KELLY FIELD
Directed by:
Professional Staff
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Instruction for juniors ages 7 – 15
Classes meet once per week for six weeks
Session One Dates: TBA
Session Two Dates: TBA
Session One: Ages 7-9 Session Two: Ages 10 & Over
COST: TBA (Milton Residents Only)
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FALL 2009 JUNIOR TENNIS LESSONS AT KELLY FIELD
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(AGES 7 - 9) ( AGES 10 & OVER) ____ TUESDAYS ___ THURSDAYS
Name ______________________________ D.O. B. _________ Age ________
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Address _________________________________________________________
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E-mail address (please print legible) ______________________________________________
Home Phone___________________________________Emergency Phone_______________
Payment $ Please make check payable to Town of Milton
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Return with payment to: Milton Parks and Recreation, 525 Canton Ave. MIlton, MA 02186
Date:_________ Amount:__________ Check/Cash: _______
CONSENT AND RELEASE FORM
I, the undersigned parent/guardian of_____________________________, a minor, do hereby consent to my child’s participation in voluntary athletic or recreational programs of the Town of Milton Park Department.
I also agree to forever release the Town of Milton, the Park Department, and all their employees, agents, board members, volunteers and any and all individuals and organizations assisting or participating in voluntary athletic or recreation programs of the Town of Milton Park Department (“the Releasees”) from any and all claims, right of action and causes of action that may have arisen in the past, or may arise in the future, directly or indirectly, from personal injuries to my child or property damage resulting from my child’s participation in the Town of Milton Park Department voluntary athletic or recreation programs.
I also promise, to indemnify, 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, arising from personal injuries to my child or property damage resulting from my child’s participation in the Town of Milton Park Department voluntary athletic or recreational programs.
I further affirm that I have read this Consent and Release Form and that I understand the contents of this Form. I understand that my child’s participation in these programs is voluntary and that my child and I are free to choose not to participate in said programs. By signing this Form, I affirm that I have decided to allow my child to participate in the Town of Milton Park Department athletic or recreation programs with full knowledge that the Releasees will not be liable to anyone for personal injuries and property damage my child or I may suffer in voluntary Town of Milton Park Department athletic or recreation programs.
Signature: _____________________________________________ Date: ________________
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