Kinston-Lenoir County Parks & Recreation Athletic Activity Permit

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I/we the parent's of the above child hereby give my/our approval for his/her participation in any and all activities during the current season. I/we assume all risks and hazards incidental to the conduct of the activities including transportation to and from the activities. I/we do hereby release, indemnify and hold harmless the Kinston-Lenoir County Parks & Recreation Department, organizers, sponsors and the employees or any/all of them. In case of injury to my child, I/we hereby waive all claims against the Kinston-Lenoir County Parks & Recreation Department, organizers, sponsors or supervisors appointed to them.

**I/we release any responsibility from transporting my child to/from above activity
**I/we are in position to furnish a certified copy of the child's birth certificate if requested.


Your electronic signature below indicates your agreement with the above statements.
SELECT THE SPORT YOU ARE REGISTERING FOR
RECREATION DISTRICT (PLEASE SELECT ONE)
PLEASE SELECT IF YOU WOULD LIKE TO VOLUNTEER AS A COACH OR SPONSOR A TEAM
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