Ice rink waiver form Adult.pages

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PARTICIPATION - WAIVER FORM CONSENT AND HOLD HARMLESS FORM 2016/2017 Season

I understand I am assuming any and all risks associated with skating or any other activity on the ice rink located on the property of Lombard Christian Reformed Church. I hereby waive and release Lombard Christian Reformed Church from any liability for any injuries incurred while on or near the Lombard Christian Reformed Ice Rink.

Name (Print): ________________________________________________________________________ Address: ____________________________________________________________________________ Phone number: _______________________________________________________________________

Signature: __________________________________________________________________________ by signing this you agree to the above terms and conditions

Date signed: _________________________________________________________________________

Lombard Christian Reformed Church

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2020 S. Meyers Rd.

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Lombard, IL

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630-495-3080

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lombardcrc.org