Recreation & Parks
11360 Lakefield Drive | Johns Creek, GA 30097 | JohnsCreekGA.gov | 678-512-3200
General Program Waiver
I/We, the above Participant(s) and/or spouse and/or parents/guardians of the above Participant(s), do hereby consent to my/our/his/her
participation in the above Program including all activities incidental to the Program. I/We assume all responsibilities for, and risk and
hazards of, participation in the Program, including transportation to and from all activities in the Program. In consideration of being
allowed to participate in the Program, I/We hereby release and forever discharge the City of Johns Creek, the City of Johns Creek
Recreation and Parks Division, and their respective officials, officers, employees, sponsors, organizers, supervisors, volunteers,
participants and agents, from any and all claims, actions or causes of action of whatever kind and nature, including claims for property
damage, bodily injury or death, arising out of, or sustained as a result of, my/our/his/her participation in the Program and all activities
incidental to the Program.
I hereby give the City of Johns Creek (“City”) permission to take photographs and/or video of me or photographs and/or video in
which I may be involved with others without compensation to me.
These photographs and/or video may be used by the City for promotional and information purposes in print, on the City website and in
other media.
I/We agree to abide by the terms of participation for the Program.
Name: ____________________ Signature: ____________________ Date: __________
COVID-19 Waiver and Release
COVID-19 is an extremely contagious virus that spreads easily through person-to-person contact. Federal authorities and the State of
Georgia recommend social distancing to prevent the spread of COVID-19. Contracting COVID-19 can lead to severe illness, personal
injury, permanent disability, and death. Use of Johns Creek Recreation & Parks (“JCRP”) facilities or participation in JCRP programs
could increase the risk of you or your child contracting COVID-19.
JCRP and its staff undertakes every effort to keep our facility clean and disinfected; however as with any public facility, we cannot
guarantee that you will be 100% safe from airborne illnesses such as COVID-19 or colds and flu while using JCRP facilities or
participating in its programs.
I have read the above notice carefully and acknowledge receipt of a copy thereof. In consideration of the benefits received, I
understand and appreciate the risks that are inherent in using JCRP facilities and/or participating in JCRP programs, and hereby
assume all risks of illness, including death, that I may sustain while participating in or as a result of, or in any way growing out of the
use of JCRP facilities and/or the participation in JCRP programs. I hereby assert that my use and/or participation is voluntary and that
I knowingly assume all such risks. I hereby agree that for the sole consideration of the City of Johns Creek allowing me to use JCRP
facilities and/or participate in JCRP programs, I do hereby release and forever discharge the City of Johns Creek, and its officers,
agents and employees of any and from all claims, demands, rights and causes of action of whatever kind or nature, arising from and by
reason of any and all known and unknown, foreseen and unforeseen illness, and the consequences thereof, resulting from or an any
way connected to any use of JCRP facilities and/or participation in JCRP programs.
Name: ____________________ Signature: ____________________ Date: __________
