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City of Crestview
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Sports Registration Form

  1. PArks

  2. I, _________________________, covenant and agree that I will indemnify and hold harmless the City of Crestview and the City of Crestview’s Mayor, Council members, agents, and employees from any and all claims, losses, accidents, injuries, sickness, damages, costs, charges, or expenses of any kind whatsoever arising out of any act, action, neglect, or omission by (me) or (my child) while attending or participating in any event, sport, or activity to be conducted on or about the premises of the Twin Hills Gymnasium or other City Recreational facilities. No refunds will be issued once uniforms have been ordered.

  3. Signature of Parent or Guardian of Minor Child _____________________________________

  4. OFFICIAL USE ONLY

  5. Check or Cash Only

  6. APPLICATION PROCESSED BY:______________________ DATE:____ /____/____

  7. Birth Certificate Verified:_____

  8. Receipt Number: ___________

  9. Register Number: ___________

  10. Cash: _________________

  11. Check Number: __________

  12. Amount Paid: $________._____

  13. Leave This Blank: