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I UNDERSTAND THAT INJURIES ARE A POSSIBILITY AS A RESULT OF THIS ACTIVITY. I AGREE TO HOLD THE BOROUGH OF NAUGATUCK, NAUGATUCK PARK AND RECREATION OR ANYONE ASSOCIATED WITH THIS PROGRAM HARMLESS OF ANY RESPONSIBILITY OR LIABILITY FOR ANY INJURIES OR PROPERTY DAMAGE THAT MAY ARISE FROM PARTICIPATION IN THIS PROGRAM. I ALSO UNDERSTAND THAT MY OWN MEDICAL AND/OR DISABILITY INSURANCE WILL BE USED IN THE EVENT OF ANY INJURY OR I WILL DIRECTLY BE RESPONSIBLE FOR MY OWN MEDICAL COST AND HEREBY GIVE PERMISSION FOR EMERGENCY TRANSPORTATION AND/OR TREATMENT IN THE EVENT OF ILLNESS OR INJURY. I HEREBY ACCEPT RESPONSIBILITY FOR THE PAYMENT OF ANY EMERGENCY TRANSPORTATION AND/OR TREATMENT.
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