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Safety Camp Registration Form

  1. Street Address

  2. Which camp will you be attending?

  3. Permission and Waiver: I hereby agree to allow my child to participate in Hopkins Safety Camp. In consideration of accepting this registration, I hereby, for myself and my heirs, waive any and all rights and claims for damages I may have against the City of Hopkins and/or the Hennepin County Sheriff’s Office and/or their representatives, for any and all injuries from whatever cause suffered by the above participants(s) in the indicated activity. I also understand that pictures may be taken of the participant in the program and are used for program promotions, brochures, scrapbooks, and staff training. I grant permission to use the pictures of my child(ren) for the above purposes.*

  4. First and Last Name

  5. Approve Signature*

  6. Leave This Blank:

  7. This field is not part of the form submission.