Dunbarton Recreation

The undersigned, being the participant/volunteer or parent and/or legal guardian of the participant listed above, gives permission to him/her to participate in the above named program(s). I agree that no claim will be made by the undersigned on behalf of me or my child for personal injuries or other losses sustained by me or my child as a result of me or my child's participation in this program(s) and that in the event any claim is made for injuries or damages sustained by me or my child as a result of my or my child's participation in this program(s), I shall hold the town of Dunbarton and the Dunbarton Recreation Committee and volunteers harmless from, and indemnify it against, any such claim including reasonable attorney fees incurred by the town of Dunbarton, the Dunbarton Recreation Committee or volunteers in connection therewith whether or not such claims result in litigation.

In the event I cannot be reached if a medical emergency arises that requires treatment beyond the knowledge of volunteers, coaches and parents/guardians present, I hereby authorize permission to the volunteers on scene to seek emergency treatments by trained medical personnel, including any necessary emergency transportation for my participant. I hereby give permission to the physician and emergency personnel to provide any treatment deemed necessary for the named above participant(s).