Page 54 - Calabasas Fall 2025

REGISTRATION FORM
ONLINE
General Registration begins Wednesday, August 20 • 9:00am
www.calabasasreg.org
MAIL-IN
Fill in registration form and mail with full payment.
Make checks payable to: City of Calabasas
MAIL TO: Community Services Attn: Fall Registration
27040 Malibu Hills Road
Calabasas, CA 91301
Senior Program Registration Dates
Calabasas Senior Center Members Calabasas Residents Non-Residents 9:00am • Wednesday, August 13
9:00am • Friday, August 15
9:00am • Wednesday, August 20
Calabasas Community Center
Member Priority Registration 9:00am • Friday, August 15
Note: This priority registration applies to classes specifically held at the
Calabasas Community Center
Refund Policy Information see page 11 or www.cityofcalabasas.com/communityservices
(ADULT / PAYEE) NAME
P
A
Y
E
E
EMAIL
ALL RECEIPTS ARE EMAILED
ADDRESS
CITY ZIP
PRIMARY PHONE CELL PHONE CELL PHONE
(CARRIER REQUIRED FOR TEXT MESSAGES)
CLASS NAME START DATE TIME PARTICIPANT NAME GENDER BIRTHDATE
FEE
P
A
R
T
I
C
I
P
A
N
T
$6
*Signature required for registration.
PROCESSING FEE APPLIES
TO ACTIVITIES OVER $21
The undersigned hereby agrees to defend, indemnify, and hold harmless the City of Calabasas and its officers, employees, agents,
instructors and other representatives from and against any and all loss, liability charges and expenses (including attorney’s fees)
and cost which may arise by reason of participation or my child’s participation in any program. (The City does not provide
accident, medical, liability, workers’ compensation insurance or any other insurance for program participants). If signing in the
TOTAL FEE
capacity of a parent or guardian of a minor child, I hereby consent to emergency treatment of my minor child as a result of
accident or injury. I further agree to pay any and all costs incurred as a result of said treatment. I agree to carefully inspect and
satisfy for myself that the facilities provided are reasonably safe for their intended use. Once having conducted the inspection, I agree to expressly assume the risk of participating
at the premises. I understand the City retains the right to use photos taken during activities for publicity purposes.
Communicable diseases are illnesses caused by viruses or bacteria that spread from person to person, animal to person, or from a surface or a food. These diseases can be
transmitted through contact with contaminated surfaces, bodily fluids, blood products, insect bites, or through the air. All participants in recreational activities must comply with
all safety and preventative measures put in place by the City to reduce the spread of communicable diseases. Safety measures are subject to change or revision in accordance
with state and local guidance.
By signing this agreement, I represent that I will adhere to all the applicable communicable diseases preventive measures required by the City of Calabasas and other applicable
governments. Further, on my behalf, by signing this agreement, I acknowledge the contagious nature of communicable diseases and voluntarily assume the risk that I may
be exposed to or infected to such diseases by participating in recreational activities/training/rentals and that such exposure or infection may result in personal injury, illness,
permanent disability, and death. Further, on my behalf, I hereby release, waive, covenant not to sue, discharge, and hold harmless the City of Calabasas, its employees, agents, and
representatives, of and from any such liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release
includes any claims based on the actions, omissions, or negligence of the City, and its officers, employees, agents, instructors, and representatives.
PARTICIPANT/RELEASOR PARENT OR GUARDIAN (IF MINOR PARTICIPANT)
_____________________________________
______________________________________
Printed First and Last Name Printed First and Last Name
__________________________ ___________ __________________________ ____________
Signature Date Signature Date
METHOD OF PAYMENT: [ ] CHECK [ ] MASTERCARD [ ] VISA [ ] DISCOVER
P
A
Y
CREDIT CARD # EXP. DATE CVV CODE
BILLLING ADDRESS