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502-543-2923 634 Conestoga Pkwy Shepherdsville, KY 40165
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In consideration for being allowed access to and use of the gym facilities at Shepherdsville City Hall located at 634 Conestoga Parkway, Shepherdsville, KY 40165 (“City Gym”) provided by the City of Shepherdsville, Kentucky for the purposes of athletics, physical fitness, sports, exercise, training, and recreational activities, etc. (“Activities”), I, on behalf of myself, my heirs, executors, agents, administrators, assigns, estate, and all other persons claiming through me, do hereby agree to RELEASE AND HOLD HARMLESS the City of Shepherdsville, its elected and appointed officials, officers, employees, agents, affiliates, volunteers, participants, and any and all other persons or entities acting in any capacity on its behalf (“City”) as follows:
BY SIGNING THIS AGREEMENT, I ACKNOWLEDGE THAT I HAVE CAREFULLY READ AND FULLY UNDERSTAND THE TERMS OF THIS AGREEMENT, AGREE TO BE BOUND THERETO, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENTS.
(PARENT’S SIGNATURE IF PARTICIPANT IS UNDER 18)
I attest that I am the legal parent/guardian of the above-named Participant and that I, on behalf of myself, my spouse, my children (including, but no limited to, the above-named Participant), my parents, heirs, assigns, personal representative, and estate have read and understood the terms of this Agreement, agree to be bound thereto, and sign in freely and voluntarily without any inducements.