2021 Summer Rec Registration

Summer Rec 2021 Catalog
This PDF is the complete Activity Catalog & Registration Sheet

Payment:  Please attach payment to the form(s) and submit either by mail or dropping it off at the City Office.
Address:  315 Madison Avenue, Ortonville MN  56278
If you are submitting electronically, you will still need to mail or drop off payment at the City Office.  Thank you!

Options to submit the registration sheet:

  • Print and complete the above PDF and submit it to the City Office (1 per participant)
  • Print individual Registration sheet (1 per participant) via this link:  Summer Recreation Registration Form
  • Complete the Registration Sheet below & electronically submit.  (Note:  on-line signatures are obtained by using your mouse or using your finger to sign if you have a touch screen device)

One form per Participant.

*All participants will be required to follow MN Covid guidelines or Ortonville School Districts/MNSHL Covid guidelines

when using their facilities. MN Guidelines can be found here: https://www.health.state.mn.us/diseases/coronavirus/communities.html#sports

Ortonville School Districts/MN State High School League guidelines can be found here:
https://www.mshsl.org/mshsl-covid-19-information

*All participants must sign and return the Covid 19 Waiver prior to participate*
One form may be filled out per family. If you need additional room, you may use the back of this form or use another registration.

Please fill it out completely; if there are discrepancies, forms will not be processed.

Any questions please contact Jill Dale, Summer Rec Director, at ortonvillesummerrec@gmail.com.

Primary Phone Number
Must be different than the first contact phone number
Add this to your total if you register after May 14th
ASSUMPTION OF RISK / WAIVER OF LIABILITY / INDEMNIFICATION AGREEMENT In consideration of being allowed to participate on behalf of Ortonville Summer Recreational program and related events and activities, the undersigned acknowledges, appreciates, and agrees that: 1. Participation includes possible exposure to and illness from infectious diseases including but not limited to MRSA, influenza, and COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist; and, 2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and, 3. I willingly agree to comply with the stated and customary terms and conditions for participation as regards protection against infectious diseases. If, however, I observe and any unusual or significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and, 4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS (insert name of sports organization) their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“RELEASEES”), WITH RESPECT TO ANY AND ALL ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF RELEASEES OR OTHERWISE, to the fullest extent permitted by law. I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IF FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
This is to certify that I, as parent/guardian, with legal responsibility for this participant, have read and explained the provisions in this waiver/release to my child/ward including the risks of presence and participation and his/her personal responsibilities for adhering to the rules and regulations for protection against communicable diseases. Furthermore, my child/ward understands and accepts these risks and responsibilities. I for myself, my spouse, and child/ward do consent and agree to his/her release provided above for all the Releasees and myself, my spouse, and child/ward do release and agree to indemnify and hold harmless the Releasees for any and all liabilities incident to my minor child’s/ward’s presence or participation in these activities as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent provided by law.

 

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