April 15, 2023 Scrapbook Crop

Non-Resident Registration Form

Participant Name(Required)

Age

Date of Birth

Parent/Guardian Name

(if participant is under 18)

Telephone Number(Required)

Email(Required)

Under the Americans with Disabilities Act, does participant require accommodations to participate in this activity?

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#15apr23: April 15, 2023 Scrapbook Crop - Non-Resident

Price:

Credit Card(Required)

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Card Number

Expiration Date

Security Code Cardholder Name

Billing Address(Required)

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Waiver Review & Agreement

Read the Program Waiver (PDF)

Waiver Agreement(Required)

I have read and understand the WAIVER, RELEASE OF ALL CLAIMS AND HOLD HARMLESS AGREEMENT FOR GRANDWOOD PARK PARK DISTRICT. I understand that by checking this box and entering my name in the box below I am agreeing to all of the terms of that waiver, release of all claims and hold harmless agreement.

I agree

Name of Participant (18+) or Parent/Guardian(Required)

Please note: Registrations received without the box checked and/or without the name of participant/guardian in the space provided will be denied.

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April 15, 2023 Scrapbook Crop

Non-Resident Registration Form

Waiver Review & Agreement

Grandwood Park Park District

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