Leisure Ledger January - April 2018

Account and Program Registration Form Payment Information  Check # _______________ (checks payable to City of Raleigh)  Money Order Credit Card payments may be made at a staffed facility or through the online registration system RecLink. Visit parks.raleighnc.gov and select “Register on RecLink”. If you would like to complete your registration online, but prefer not to pay online with a credit card, you may add a credit to your account prior to online registration by making a payment at a community center or the Recreation Business Office. Refund Policy • 100% refund/credit/transfer if the Department cancels the program or the facility rental. • Refund requests received in writing at least 14 or more days in advance of the program/rental/team placement date are entitled to: A. 100% credit or transfer of fees to another program at the time of the withdrawal; B. 85% refund based on the total cost of the program or rental; C. 85% credit/transfer/refund of eligible rental fees • Refund/credit/transfer requests received less than 14 days in advance of the program/rental/team placement date will not be granted. • Refunds for medical circumstances requested prior to the program/rental/team placement date will be granted at 100%, pending verification. • Outdoor facility usage cancelled due to inclement weather may be rescheduled pending space availability. • A transfer must be requested at the time of withdrawal. • A credit may be used by any family member on the same registration account. • Non-attendance/non-participation in a program does not entitle the patron to a refund. Refund requests may be sent to: Raleigh Parks, Recreation and Cultural Resources Department Rbo.registration@raleighnc.gov Non-Discrimination Policy The policy of the City of Raleigh is, and shall be, to oppose any discrimination based on actual or perceived age, mental or physical disability, sex, religion, race, color, sexual orientation, gender identity or expression, familial or marital status, economic status, veteran status or national origin in any aspect of modern life. A participant alleging discrimination on the basis of any of the aforementioned areas may file a complaint with either the Director of Raleigh Parks, Recreation and Cultural Resources Department or the Office of Equal Opportunity, U.S. Department of the Interior, Washington, D.C. 20240. Release, Indemnity, and Agreement Not To Sue I understand that participating in the recreational program selected involves risk of injury or illness. These risks include, but are not limited to, inclement weather, accidents while traveling, food related illness, equipment problems or failures, contact with and actions of other participants, spectators, and volunteers, slips/trips/falls, and musculoskeletal injuries, among others. I choose for myself or for my child to participate in the selected programs despite the risks. By signing the Program Registration form, I acknowledge all risks of injury, illness, death, and property damage, and affirm that I have assumed all responsibility of injury, illness, or death in any way connected with participation in the program. I also agree for myself and for any child participant to follow all rules and procedures of the program and to follow the reasonable instructions of the teachers and supervisors of the program. In return for the opportunity to participate in this program, I agree for myself and for my heirs, assigns, executors, and administrators to release, waive, and discharge any legal rights I may have to seek payment or relief of any kind from the City, its employees or its agents for injury, illness, or death resulting from this program. If I am registering a child for a program, I agree that I am a parent, legal guardian, or am otherwise responsible for the child whose application I am submitting and that I release, waive, and discharge any legal rights that I may assert on behalf of the child participation in the program. I also agree not to sue the City, its employees, or its agents and agree to indemnify the City for all claims, damages, losses, or expenses, including attorney’s fees, if a suit is filed concerning an injury, illness, or death to me or to my child resulting from participation in the program. Registration Date Mail-in, Walk-in, and RecLink Registration begins Tuesday, December 5, 2017 By signing below, I acknowledge that I have read, understand, and agree to the City of Raleigh policies listed on this form. Signature is required to complete the registration process. Participant Signature ______________________________________________________________________________________ Date ______________ Signature of parent/legal guardian if child is under 18 _______________________________________________________ Date ______________