“The undersigned states that he/she understands that The Johnson County Park and Recreation
District is not and shall not be responsible for or liable for any illness, or injury to person or damage to
property resulting from the program in which the undersigned is enrolling or being enrolled or from
his/her participating in said program, and the participant and the undersigned, if the participant is a
minor or under other legal disability, hereby forever releases and holds harmless the said Johnson
County Park and Recreation District, it’s employees, agents and representatives from any and all
claims of any kind that the participant, or the undersigned or their respective heirs, executors,
administrators, or assigns may have or claim to have resulting from participation in said program.
NOTICE: By enrolling in this program you hereby acknowledge the Johnson County Park and
Recreation District can and may photograph and/or video tape program participants and then use such
images, without payment or any other consideration, for purposes of publicizing District parks,
facilities, programs or services, or for any other lawful purpose.”
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