Waiver and Release of Liability
on behalf of all participants, adults, minors and parents of
participating minors in Millcreek Township Recreation
and Parks Department programs.

In behalf of myself and any of my minor children listed below as applicants, I give permission to attend and participate in the program for which application is attached.  I understand that the Recreation and Parks Commission of Millcreek Township, Millcreek Township and the Millcreek Supervisors, and the Millcreek Township School District assume no liability for injury incurred as a result of any participation in any of the various activities of the Recreation and Parks Department of Millcreek Township.

In behalf of myself and in behalf of any of my minor children participating hereunder, I agree to release, give up, forego, waive and discharge the Recreation and Parks Commission of Millcreek Township, Millcreek Township and Supervisors, Millcreek township School District, their officers, representatives, and employees from any and all liability, claims, demands, causes of action arising out of or in any way connected with any programs being operated by the Recreation and Parks Department of Millcreek Township.  The undersigned hereby assumes all risk of injury or damages to the person in behalf of myself and any minors to which I am parent, guardian, or next friend, as any injuries and damages would occur as a result of participation in the programs of the Recreation and Parks Department of Millcreek Township.

This document is intended to be a complete and full release, waiver, relinquishment, giving up, foregoing, and discharge of all claims and damages of every kind against the Recreation and Parks Department of Millcreek Township, Millcreek Township and the Millcreek Supervisors, and the Millcreek township School District which I or my minor children might incur as a result of participation in the programs of the Millcreek Recreation and Parks Commission; and the undersigned does hereby agree to hold the Recreation and Parks Commission of Millcreek Township, Millcreek Township and Millcreek Supervisors, and the Millcreek Township School District free and clear from all loss and liability of any kind.

Furthermore, as parent, guardian, and next friend of any minors hereunder, the undersigned hereby expressly agrees to indemnify and forever hold harmless the Recreation and Parks Commission of Millcreek Township, Millcreek Township and the Millcreek Supervisors, and the Millcreek Township School District against loss or any claims, demands, causes of action that might be brought by any minor or in his behalf to defray damages incurred while participating in any programs of the Recreation and Parks Department of Millcreek Township.  As parent, guardian, or next friend, I hereby waive all exemption rights under all state laws against any claims for reimbursement or indemnification.