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(YS, YM, YL, AS, AM, AL)
Registration is not guaranteed after program deadlines. A $10 late fee will be added to all late registrations.
I understand that the above activities I have registered for may have an element of hazard or inherent danger and I take full responsibility for my actions and/or the actions of my children. I agree to hold harmless the Village of Cottage Grove, its employees, and contractual instructors from any and all liability, loss, cost, or expense that I may incur while participating in any of the above programs. I hereby give consent for emergency medical treatment in the event it is needed. In addition, I give my permission to have my photo and/or my child’s photo taken during the above events for the purpose of publicity.
(Must be over 18)
I have reviewed Cottage Grove Park and Recreation’s Concussion Awareness Information and I agree that if it appears that my child may have sustained a
concussion or head injury that he/she is to be removed from any program until such time a trained medical professional can examine them and approve their return to play, pursuant to Wisconsin Act 172 relating to concussions and other head injuries. In such case, I understand I am to provide written clearance from a trained medical professional for my player to return to the activity for the Village of Cottage Grove. I have read and fully understand the
statement regarding concussions.
No confirmation for programs is sent without a self-addressed, stamped envelope.
* indicates a required field