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Winter Scene with Tree Stencil

  1. winterscene

  2. The participant, intending to be legally bound for themselves and their heirs, executors, and administrators, waive and release all claims for injuries and damages they may have against the City of Fairborn, the Parks & Recreation Division, all officials and employees of the division, and their successors and assigns for any and all injuries and damages suffered in connection with participation in recreation programs. I further grant permission to the City of Fairborn to use my/my child's name, likeness, picture, and/or voice in printed or audio/visual materials to promote park activities in the City of Fairborn.

  3. I agree with release*

  4. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  5. Please contact the Parks and Recreation Office at (937) 754-3090 with any questions.

  6. Leave This Blank:

  7. This field is not part of the form submission.