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Beverly Recreation Online Registration Form

   Please fill out ALL required fields. Forms that are not properly completed may affect your registration status.

* = required fields

Household Information
*Name of Participant:
  Gender: Male      Female
*Email
*Please Confirm Email:
*Street Address:
*City, State, Zip: ,
*Home Phone:
*Work or Cell Phone:
  Have you taken classes with us before?
Winter/Spring Programs
*Program Title: *

*Start Date: *

  Additional Comments:

Waiver of Damages and Release of Claims  &  Waiver of Damages and Release of Claims of Minor Child
In consideration of my use of property belonging to the City of Beverly, or my participation in programs, leagues or events sponsored by the City of Beverly, and being aware of the risks associated with such use or participation, I hereby release and discharge the City of Beverly, its agents and employees from any and all claims for personal injury or other damages that I might have now, or may acquire in the future, for personal injury or other damages that I might sustain as a result of my participation in any Beverly Recreation Department program, league or event. I agree that pictures taken in connection with the program or event may be used for future promotional purposes. Registration by telephone signifies acceptance of the above listed Waiver of Damages.

I, the parent or legal guardian of a minor child, in consideration of his/her use of property belonging to the City of Beverly, and/or his/her participation in programs, leagues or events sponsored by the City of Beverly, and being aware of the risks associated with such use or participation, hereby release and discharge the City of Beverly, its agents and employees from any and all claims for personal injury or other damages that I might have as such parent or legal guardian, now or in the future, and from any and all claims that my said child may have now, or may acquire in the future, as a result of personal injury or damages that he/she may sustain as a result of his/her participation in any Beverly Recreation Department program, league or event. I agree that pictures taken in connection with the program or event may be used for future promotional purposes. Registration by phone signifies acceptance of the above listed Waiver of Damages.

*Please acknowledge your understanding and acceptance of the above waiver(s) with a check here: