Waivers must be completed, signed and returned to Pleasant Hill Recreation & Park District prior to participation in a class or activity. Some waivers will be circulated for signature at the first meeting. If required in advance, please print form, complete it (please be sure it is signed) and mail or deliver the original to our District Office. Emailed, faxed or electronic copies of the waivers will not be accepted.

Most waivers are available here in Adobe Acrobat format. If you need this free software, click here to download.

Waivers are also available at our District office located at 147 Gregory Lane, Pleasant Hill, CA 94523

2017 Aquatics Waiver

Preschool Activities

2017 Preschool Activity Waiver
2016-2017 Priority Preschool Waiver

Youth Activities

2017 Youth Activity Waiver

2016-2017 KIDSTOP Youth Waiver

Teen Activities
2017 Teen Activity Waiver
2016-2017 Teen After School Program Waiver

2017 Minor-Adult Waiver

2017 Health & Emergency Information Form
Form must be completed for each participating child.