SWAG Summit Online Registration

The Students with Awesome Goals(S.W.A.G.) Summit is on Saturday, April 29, 2017, 8 a.m. - 5 p.m.
CSUDH in the Loker University Student Union, 1000 East Victoria Street in Carson
Click here for the Event Agenda
Other Ways to Register
  1. Mail in Application Form to
    S.W.A.G. Summit
    Recreation and Human Services Divisioin
    2400 East Dominguez St., Carson, CA 90745
  2. Drop-off application form at your local park

Online Registration: Please Fill in the Following.
First Name * Last Name *
Address * City
State Zip
Home Phone * Cell Phone
Email * Retype Email *
Date of Birth * Age *
Parent/Legal Guardian *
Phone * Park *

In case of Injury, Please Contact
Name * Phone *
Relationship Alt. Phone
I hearby certify that I am the parent and/or legal guardian of the aforementioned child, and that I am entitled to his or her custody and control, and I do hereby give my permission for said child to participate in the SWAG Summit.
In consideration of the acceptance of my child's application for participation in this event, I for myself, my heirs, executors, administrators and assigns, hereby waive, release and discharge any and all claims for damages for death, personal injury or property damage which I may have, or which my hereafter accrue to me as a result of my child's parcicipation in this program. I further agree to indemnify and hold harmless the City of Carson and its officers, agents, and emplyees from any liability or action for damages which in any way arise out of my child's participation in this program even though that liability may arise out of negligence or carelessness on the part of the persons or entities mentioned above.
I FURTHER UNDERSTAND THAT SERIOUS ACCIDENTS OCCASIONALLY OCCUR DURING SOME EVENTS, AND THAT PARTICIPANTS IN SUCH ACTIVITY OCCASIONALLY SUSTAIN SERIOUS PERSONAL INJURIES AND/OR PROPERTY DAMAGE AS A CONSEQUENCE THEREOF. KNOWING THE RISK OF EXCURSIONS, I HEREBY AGREE TO ASSUME THOSE RISKS AND TO RELEASE AND HOLD HARMLESS THE CITY OF CARSON, ITS OFFICERS, AGENTS, AND EMPLOYEES FROM ANY LIABILITY TO ME OR MY HEIRS OR ASSIGNS FOR DAMAGES.
* I have read and understand the above statement.

City Hall Contact

701 E Carson Street
Carson, CA 90745
(310) 830-7600, 7 AM - 6 PM
Monday - Thursday
24-hour automated: (310) 952-1700

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