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Recreation Center Campus Facility Waiver

  1. mm/dd/yyyy

  2. Do you have health issues you would like facility personnel to know about? If yes, please fill out the information block above. If no, please leave it blank. 


    "By Signing this form I hereby acknowledge that I understand that I assume all risks and hazards involved in participation in any Fitness programs, Aquatic activities or other use of the facilities at the Orange Beach Recreation Center campus. I further acknowledge and confirm that I am either the adult (over 19) participant or the parent or legal guardian of the named participant who is under 19 years of age.  I do hereby waive, release and agree to hold harmless the City of Orange Beach, their officers, agents and employees from injuries or claims of any kind arising from activities on the Orange Beach Recreation Center and its campus facilities."

  5. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

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  7. This field is not part of the form submission.