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Swimming Pool Season Pass

  1. Pass Identification:
  2. Individual:
  3. Family:
  4. * Gender information for statistical purposed only
  5. Emergency Information:
  6. Daytime phone of parent or guardian
  7. Additional Emergency Information:
  8. I, undersigned, herby release, discharge, and agree to hold harmless the City of Lampasas, all sponsors and co-sponsors, their agents, employees, officers, and successors from all liability, claims, or actions which I, my heirs, executors, administrators, or assigns may have or claim to have against any of them arising from any personal injuries or other claims connected therewith, whether known or unknown, or injuries to other persons or to property caused by or arising out of any actions I or my child might take relating to any pool activity or events.
  9. Leave This Blank:

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