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Safety Town is a program designed for rising kindergartners. The program is offered in June and space is limited. Application approvals are on a first come, first serve basis with preference given to Huntersville residents. Safety Town 2019
will be located at Lake Norman Charter Middle School (12435 S Old Statesville Rd, Huntersville, NC 28078). Children can be dropped off and picked up at the rear of the building.
Please give their first and last name.
Please list their name, relationship, and contact number.
This information will be emailed with your application. You may choose to omit this information at this time however, you should provide this information at the time of payment by attaching this information to your payment.
We will only call this number in the event of an emergency.
The registration fee is $75.00 and can be made in the form of a personal check, cashiers check or money order made out to the Town of Huntersville (please remember to include the words "Safety Town" and your child's name in the memo section). You may pay in cash at the Huntersville Police Department.
Payments or requests for a partial or full sponsorship should be mailed to /dropped off at the Huntersville Police Department, Attn: Safety Town,
9630 Julian Clark Ave., Huntersville, NC 28078
Payment must be received within one week of submitting the application. If you need us to hold your check we may be able to do so depending on when it is submitted, just include a note with your payment.
I/we the parent(s)/guardian(s) agree to waive for all parties noted above all claims, demands, actions, or causes of action, against the Town of Huntersville, its Officers, agents and employees, of whatever kind or nature which may arise in any manner by such reason of injury to person or property or both while such child is participating in the Safety Town Program.
To never instigate any suit or action against the Town of Huntersville, its Officers, agents, or employees for damages, loss or injury of any kind for or on account of injury to said minor child’s person or property or both which may arise in any manner while he/she is participating in this program.
Photographs, films, and recordings are sometimes made of the participants of the Safety Town Program for class pictures, news releases, and other documentary purposes. I hereby authorize the use of my child’s picture to be used in any non-commercial manner by any radio, television, newspaper, Town of Huntersville, or other Officers, agents, and employees of the Safety Town Program.
By this enrollment of my child in this program sponsored by Huntersville Police Department, I certify that I have disclosed to the Town of Huntersville any restrictions or conditions that may hinder my child’s participation in this program. In signing this waiver, I also give my permission for my child to participate in all activities associated with this program, including those activities/field trips requiring or involving transportation.
I/We furthermore hereby release, discharge and hold harmless the Town of Huntersville, its employees, volunteers, instructors, and contractors from all actions, claims, demands, and costs for any injury or illness my child may suffer as a result of his/her participation in this program and associated activities.
I/We understand, with limited enrollment spots and high demand for this program; it is the policy of the Huntersville Police Department not to issue refunds once a child is accepted, if the parent/guardian and/or child decide not to attend the program.
I/We have read the foregoing waiver and covenant and understand that it constitutes a formal legal document.
By my/our electronic signature(s), I/We give consent for the above listed minor child to participate in the Safety Town Program.
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
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