Release of Claims Memo To Participants & Certification Form - 12-15-2016

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Harry Kim Mayor Charmaine L. Kamaka Director Ryan K. Chong Deputy Director County of Hawai`i DEPARTMENT OF PARKS AND RECREATION 101 Pauahi Street, Suite 6 • Hilo, Hawai`i 96720 (808) 961-8311 • Fax (808) 961-8411 December 15, 2016 MEMORANDUM To: All Persons/Groups Participating in P&R Programs or Using P&R Facilities From: Charmaine L. Kamaka, Director Re: RELEASE OF CLAIMS REQUIREMENT The County of Hawai'i Department of Parks & Recreation ("P&R") is committed to providing facilities for recreational and leisure activities at little or no cost to the people of the Island of Hawai'i and its visitors. In order to do this we need to take proactive steps to reduce the County's potential liability when persons voluntarily participate in P&R activities or use P&R facilities. Therefore, as part of its risk management, P&R must require every participant to sign a Release of Claims form prior to participating in any P&R program or using a P&R facility. A participant under the age of eighteen must have a parent or guardian's signature. The head of every group or organization, or a designee, must please do the following: 1. Fill out the activity information on the attached Release of Claims form; 2. Copy and distribute one form to each participant; 3. Collect the completed, signed form from each participant; 4. Proofread each form for completeness and signature (all signatures must be witnessed by an adult.) 5. Return any incomplete form to the participant, to be completed & resubmitted; 6. Keep a copy of each participant's form with you at all times (a P&R employee may ask to see your group's forms at any time the group is using a county facility or program); 7. Submit all original forms to the assigned P&R employee before the start date of the activity/program written on the form. Failure to sign a form, or late submission of forms, may result in the individual or group being unable to participate in the County program or use the County facility. 8. Sign and submit the attached certification form. Please contact the P&R recreation director or employee at (phone) _____________ if you have any questions or concerns regarding this requirement. Thank you in advance for your anticipated cooperation, as we work together to provide a responsible and positive recreational experience for everyone. County of Hawai`i is an Equal Opportunity Provider and Employer.