D214 - Class Registration v3.0
Step 1 of 2: Add Participant Information
Please fill in the information for all of the participants that will be attending the selected classes in the cart.
* Denotes required field
 Same as Day
 Same as Day | Night
Same as Day | Night
Same as Day | Night
Other Phone Numbers :
Phone #
Which # is this
(e.g. Mom's work)
 
Describe Special Needs (Disability, Allergies, and Other Notes)
High School District 214 and District 214 Community Education Waiver, Hold Harmless, and Indemnification Terms

I recognize the risks of illness and injury inherent in any exercise program and the risk in participating in a District 214 Community Education class. I understand that using the property for a District 214 Community Education class is a privilege and agree to participate and assume all risk involved thereto. I am participating in a District 214 Community Education class upon the expressed agreement and understanding that I am hereby waiving and releasing District 214, its directors, officers, employees and Community Education independent contractors from any and all claims, costs, liabilities, expenses or judgments, including attorney fees and court costs (herein collectively “Claims”) arising out of my participation in the District 214 Community Education program or any illness or injury resulting there from, and hereby agree to indemnify and hold harmless District 214 from and against any and all such claims.
 
Pick-up Person (if other than the parent)
Yes! I want to receive news and promotion updates