In consideration of being allowed to participate in the activities and programs of the City of Temple Terrace Family
Recreation Complex (COTTFRC) and to use its facilities, equipment and machinery, in addition to the payment of
any fee or charge, I do hereby waive, release, and forever discharge the City of Temple Terrace and its officers,
agents, employees, representatives, and executors, from any and all responsibility or liability for any injuries or
damage resulting from my [or my child(ren)’s] participation in any activities or my [or my child(ren)’s] use of equipment
or machinery, and from any responsibility or liability for any injury or damage to myself [or my child(ren)], including
that caused by the negligent act or omission of any of those mentioned above or by others acting on their behalf,
orin any way arising out of or connected with my [or my child(ren)’s] participation in any activities of the COTTFRC
or the use of any facilities or equipment at the COTTFRC. I agree to abide by all COTTFRC policies and procedures as
a facility guest.
I further certify that I am the parent or legal guardian of the child(ren) listed on this Agreement or that I have been
granted power of attorney to sign this Agreement on behalf of the parent or legal guardian of the child(ren) listed.
In the event that I do not have the requisite authority to sign this Agreement on behalf of the child(ren) listed, I
agree that I shall be solely liable for any and all actions, causes of action, penalties, claims, costs, services, compensation
or the like resulting from this misrepresentation. I agree to be contractually bound by this certification.
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