Electronic Signature Agreement* In consideration of the acceptance of the application for entry into the classes or activities listed, I hereby
waive, release and discharge any and all claims for damages for death, personal injury, or property damage
which I may have, or which may hereafter accrue to me as a result of my participation in said classes or
activities.
I am aware that these classes or activities subject me to physical risks and dangers, nevertheless, I voluntarily
agree to assume any and all risks of injury or death, and to release, discharge, and hold harmless all of the
entities or persons mentioned above who, through negligence or carelessness, might otherwise be liable to me,
or my heirs, personal representatives, next of kin, spouse or assigns. It is understood and agreed that this
waiver, release, and assumption of risk is to be binding on my heirs, personal representatives, next of kin,
spouse and assigns.
If participating in a virtual recreation class(es), I am aware of and acknowledge that use of third-party
applications (e.g. Zoom) may carry a privacy and security risk, and I use the application at my own risk. I
acknowledge that, while the Town will implement reasonable measures within its control, it is not responsible
for maintaining the security of these applications. I also acknowledge that I am responsible for ensuring my
environment is safe and free from obstructions, and for supervising my child if he or she uses the application.
I have fully read this Agreement and fully understand its content. Furthermore, the significance of this release
of liability and assumption of risk agreement has been EXPLAINED TO THE MINOR.
In addition, should the Town of Los Altos Hills and/or its representatives take photographs of my or my
child’s program, event or activity, I agree to allow the use of my and or my child’s photograph for program
publicity purposes only.
