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ORANGE COUNTYS CREDIT UNION
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ORANGE COUNTYS CREDIT UNION
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Last modified
10/12/2023 5:06:03 PM
Creation date
10/12/2023 5:05:28 PM
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Contracts
Company Name
ORANGE COUNTYS CREDIT UNION
Contract #
N-2023-259
Agency
Parks, Recreation, & Community Services
Expiration Date
11/19/2023
Destruction Year
2028
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D I acknowledge the contagious nature of the Coronavirus/COVID-19 and that the CDC and many other public health <br />authorities still recommend practicing social distancing. I further acknowledge that City of Santa Ana has put in place <br />preventative measures to reduce the spread of the Coronavirus/COVID-19, and that City of Santa Ana cannot guarantee <br />that I will not become infected with the Coronavirus/Covid-19. <br />DC I understand that this release discharges City of Santa Ana from any liability or claim that I, my heirs, or any personal <br />representatives may have against the City of Santa Ana with respect to any bodily injury, illness, death, medical treatment, <br />or property damage that may arise from, or in connection to, any activities/events at City of Santa Ana. <br />I HAVE READ, UNDERSTAND AND VOLUNTARILY AGREE TO THIS RELEASE OF LIABILITY AND WAIVER. I <br />FURTHER AGREE THAT NO ORAL STATEMENTS, REPRESENTATIONS OR INDUCEMENTS, APART FROM THIS <br />RELEASE AND WAIVER, HAVE BEEN MADE TO ME TO OBTAIN MY CONSENT. <br />Donald Carazo <br />(please print) Participant <br />Date <br />IF PARTICIPANT IS UNDER 18, THE SIGNATURE OF AGREEMENT BY A PARENT OR LEGAL GUARDIAN IS ALSO <br />REQUIRED, AND SUCH PERSON FURTHER AGREES, PURSUANT TO THIS TWO -PAGE RELEASE OF LIABILITY AND <br />WAIVER, TO RELEASE AND INDEMNIFY THE CITY FOR ANY INJURY OR DEATH TO, OR ANY CLAIM BY OR ON <br />BEHALF OF, SUCH MINOR CHILD. <br />Parent/Guardian Name (please print) ParenUGuardian Signature Date <br />Waiver and Liability Release Form 2023 21 = i <br />
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