Click to Home

Go To Search
EmailPrint
 
City Academy Application

Leave This Blank:

Please complete the online form below.
Personal Information
Residency Information
Emergency Contact
Please provide a brief answer for the following:








Photo and Media Waiver
Waiver of Liability
In consideration of the City of Rowlett allowing me to participate in the Rowlett City Academy, and being aware of the possible injuries that could occur as a result of that participation, I on behalf of myself, (my minor child) release the City of Rowlett officials, employees, agents, and instructors from any and all injuries and damages whatsoever arising from participation in the Academy.

I, my heirs and representatives, agree to indemnify, save and hold harmless the City of Rowlett officials, employees, agents, and instructors from any and all claims made by me (my child) or my insurer for injuries or damages related to participation in the Academy.

I certify that all information on this application is true and complete. I under that falsification or significant omissions of any information may be considered justification for non-acceptance or dismissal if discovered at a later date.

 
* indicates required fields.
 
     

4000 Main Street Rowlett, TX 75088