Offered Monday, Wednesday and Friday afternoons through the
summer, these structured group activities will keep young people active
with opportunities to participate in a variety of sports, games and
activities.
AGES 8-12: 12pm-2pm AGES 13-15: 2pm-4pm
Program offered June 4 – July 27 (Mon/Wed/Fri)
PLEASE FILL OUT THE INFORMATION BELOW TO REGISTER:
PRICES:
Cost per Day : $7.00
Cost per Week: $18.00
Cost per Month: $60.00
**Rec Center Members are FREE,
but must pre-register
Child’s Name:
Age:
Parent’s Name:
Address:
Email Address:
Phone #:
Date of Birth:
/
To complete registration, parents must sign waiver on reverse side
For more information call 604-2400 or visit www.mcckc.edu/lvreccenter
MCC-Longview Recreation Center
3801 SW Longview Road
Lee’s Summit, MO 64081
Usage Waiver – Requires parent signature
BY AFFIXING MY SIGNATURE TO THIS DOCUMENT, I AGREE THAT IN ALLOWING
TO ATTEND AND USE THE FACILITIES AND EQUIPMENT OF THE LONGVIEW RECREATION CENTER, A
FACILITY OF THE JUNIOR COLLEGE DISTRICT OF METROPOLITAN KANSAS CITY, MISSOURI
(HEREINAFTER THE “COLLEGE”) I DO SO AT MY OWN RISK. THE COLLEGE SHALL NOT BE LIABLE FOR
ANY DAMAGE ARISING FROM PERSONAL INJURY SUSTAINED IN, ON, OR ABOUT THE PREMISSES OF
SAID RECREATION CENTER. I ASSUME FULL RESPONSIBILITY FOR ANY INJURIES OR DAMAGES WHICH
MAY OCCUR IN, ON, OR ABOUT THE PREMISES OF SAID RECREATION CENTER, AND I FULLY AND
FOREVER RELEASE AND DISCHARGE THE COLLEGE, IT’S BOARD, OFFICERS, EMPLOYEES AND AGENTS
FROM ANY AND ALL CLAIMS, DEMANDS, DAMAGES, RIGHTS OF ACTION OR CAUSES OF ACTION,
PRESENT OR FUTURE, WHETHER THE SAME BE KNOWN, ANTICIPATED OR UNANTICIPATED, AND
WHETHER THE SAME BE CAUSED BY NEGLIGENCE OF THE COLLEGE, ITS BOARD, OFFICERS,
EMPLOYEES OR AGENTS, OR BE OTHERWISE CAUSED (BUT NOT INCLUDING INTENTIONAL TORTS OR
GROSS NEGLIGENCE), RESULTING FROM OR ARISING OUT OF THE USE OR INTENDED USE OF SAID
RECREATION CENTER OR THE FACILITIES AND EQUIPMENT THEREOF.
Participant’s Name:
Parent’s Signature :
Date: