Powell Parks & Recreation Guide - Fall 2019

Program # Program Name Participant Name Birthdate Program Fee

PLEASE SIGN BELOW. SIGNATURE REQUIRED TO PARTICIPATE. RELEASE OF ALL CLAIMS AND PROMISE NOT TO SUE. persons or objects for any or all purposes, including, but not limited to, private and public presentations, advertising, publicity and promotions relating thereto. READ CAREFULLY - BY SIGNING THIS YOU MAY GIVE UP IMPORTANT LEGAL RIGHTS .

Name: Zip Code: Email: Recreation Program Enrollment Form Village Green Municipal Building · 47 Hall Street · Powell, Ohio 43065-8357 · Phone 614.885.5380 · Fax 614.885.5339 Address:

30 | Fall 2019

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