Mail to:

Kannapolis Recreation Park
PO Box 306
Kannapolis, NC 28082
Please include your payment

Kannapolis Recreation Park
Membership Application

 

Name: ________________________________________

Mailing
Address: _______________________________________

City: _________________________________________

Age: __________

Phone No: ______________________

Email: _____________________________

Other family members
Name
Sex
Age
Spouse      
Dependent Children      
       
       
   

 
   

 
NOTICE: By my signature, I acknowledge that management has made every effort to maintain maximum safety at the park. I understand that I assume the risk of injury by participating in any activities. Therefore, I release the owners, operators, and any agents and/or employees from any and all liability in the event of accident or injury. I further understand as a parent or custodian of any minor(s) that I shall be solely responsible for the minor(s) protection and care in accord with the release herein above.

 

________________
Date

 

__________________________________________

__________________________________________
Signature of Applicant/Guardian
(Both Parents Must Sign)