Seniors Walk-In Club

Pineview Community Hall

Release Waiver and Assumption of Risk Agreement *

By checking this box I consent that I am able to participate in this Event. I warrant that I am of sufficient physical fitness and I agree to, at all times, inspect equipment, playing fields, premises and related event facilities for possible risks and determine for myself that conditions are acceptable for me to commence or continue participating. I also agree that my participation and/or continued participation indicates acceptance of equipment, fields, et al and I knowingly and freely assume all risks and full responsibility for my participation. Parent/Guardian must check box on behalf of anyone under 19 years.

Program: *

Name: *

Phone Number *

Address *

Name:

The Pineview Hall will be open every Wednesday from 10-1130 for participants to walk laps. While this program is aimed at Seniors and providing them a safe walking environment, anyone over the age of 19 is permitted. Program is limited to ten participants at at time, please register by calling the office or completing the online registration on our website. There will be no charge to join, and strict Covid19 protocol will be enforced.

Seniors Walk-In Club

Email: *