Cost: $35 per child
As of Jan. 1, child must be at least 3 years old.
By my signature on this form, I hereby release the City of Irving, its employees and volunteers from all
responsibility for any accident or injury that may occur while my son/daughter participates in planned activities at
any City of Irving facility, field or park. I also assume all risks inherent to this sport and do hereby release and hold
harmless the City of Irving, its employees and volunteers in case of injury to my son/daughter. I hereby waive all
claims against the organizers and supervisors of the said activity.
By my signature on this form, I authorize the City of Irving and its agents and assigns (hereinafter City of Irving)
should it choose, to use my [or my child’s or dependent’s (as applicable)] name, picture, voice, verbal statements,
and/or portraits (video or still) in any promotional and/or educational printed or electronic piece that furthers the
City of Irving’s public relations and/or educational efforts during this and subsequent years. This includes, but is
not limited to, external news media outlets, printed materials, broadcast, web site, brochures, displays,
newsletters, or other means of communicating with the public about programs and services in Irving. I further
understand that the pictures, recordings, articles, copy, or other means of communications may or may not
personally identify me [or my child or dependent (as applicable)]. I release to the City of Irving and consent to the
use of my [or my child’s or dependent’s (as applicable)], name, picture, voice, verbal statements, or portraits
(video or still).
* indicates a required field