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2. Company Name*
4. First Name*
5. Last Name*
7. Email*
9. Address1*
11. Address2
13. City*
14. State*
15. Zip*
17. Phone Number*
19. Description and price of item(s) that will be offered:
21. Name of Item*
22. Price of Item*
24. Name of Item
25. Price of Item
27. Name of Item
28. Price of Item
30. Method of Payment:
    There is a $100 Vendor Fee, please make checks payable to "City of Westlake" and mail to the Recreation Department, Attn: Rakayla Iwais 28955 Hilliard, Blvd., Westlake, OH 44145
32. Wavier and Release:
    Waiver and Release: In consideration of the City of Westlake granting me and my minor children the permission to engage in and assume the risk of recreational activities and/or exercise programs with the Westlake Recreation Department, I/ we agree to assume the risk of such activityand/or exercise and further agree to release, hold harmless and indemnify the City of Westlake, its employees, agents and independent contractors conducting the recreational activity and/or exercise program from any and all claims, suits, losses or related causes of action for damages, including but not limited to, such claims that may result from my/our injury or death, accidental or otherwise, from whatever cause including, but not limited to infections, loss of property, personal injury to me/us or the act or failure to act by the City of Westlake or its employees, agents or independent contractors. The undersigned further assumes the risk of all dangerous conditions in and about the City of Westlake Recreation Department property both real and personal and waive any and all specifi c notice of the existence of such dangerous conditions, if any.Registrants and participants of programs and special events permit the taking of photos and videos of themselves and their children during the Department activities for publication in the program brochure, website, and additional uses as the Department deems necessary. Furthermore, the release bars claims by the undersigned’s children, heirs, assigns, executors and administrators.
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