Chester County Government Forms

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Parks Program Registration Form

  1. Registration is required for most education programs. With this form, you may register for one or multiple programs and register up to 4 individuals. Please register at least 3 days in advance. Children under 12 must be accompanied by an adult. If you are unable to attend a program, please contact the park office.

  2. Would you like to be added to our email list?

  3. Program(s)*

  4. Program(s)

  5. Program(s)

  6. Program(s)

  7. The County of Chester will take every precaution to prevent accidents; however, we will not be responsible for medical, dental or hospital expenses incurred due to accident during a program.

  8. Medical Waiver*

  9. By checking this box, I understand and agree to the medical waiver and request that I, or my child(ren), be permitted to participate in the requested programs. I agree that neither the County of Chester nor the instructor shall be held responsible for any injury to me or my child(ren) during, or while going to and from, any program.

  10. Photo Release

  11. By checking this box, I authorize use without any compensation to me, and release the Chester County Board of Commissioners, the Chester County Department of Facilities and Parks, and its heirs, employs, and assigns from any liability for this use, or resulting from such use.

  12. Leave This Blank:

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