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Session 4 Level 3, 11:15-12:00: July 28th-Aug.7th

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Session 4: July 28th-Aug.7th: 11:15-12:00; Level 3
Please verify and acknowledge: July 28th-Aug.7th, 11:15-12:00, Level 3 for your child. Form must be completed with payment processed or slot will not be reserved
Childs Name
Parents Name
Acknowledgement
There is ABSOLUTELY NO REFUNDS. Please check this box to acknowledge
Price: $45.00
Waiver
WAIVER FOR PARTICIPATION: In consideration of your accepting my child’s registration, I hereby for my child, my heirs, executors and administrator, waive and release any and all rights and claims for damages I or my child may have against the City of East Helena and it’s employees, representatives and successors for any and all injuries suffered by my child at the activities for which i am registering my child. Please check this box to acknowledge, and then sign and date below
Clear Signature