Highland City
5400 W Civic Center Dr STE 1
Highland, UT 84003
Phone: (801) 756-5751
Fax: (801) 756-6903
Utility Acct Set Up Fee
1 Select
Cost: $25.00
Notes:

One time payment; non-refundable.
Registration Information
First Name:*
Last Name:*
Address:*
City:*
State:*
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Property Address:*

Terms and Conditions
In Consideration of Highland City granting permission to the undersigned the right to participate in the above activity, I hereby waive all claims for damage or loss to my person and property which may be caused by any act, or failure to act, of Highland City, its officers, agents, volunteers, or employees in connection with the above-named activity. I assume the risk of all dangerous conditions that may be involved in participating in the above-named activity and waive any and all specific notice of the existence of any such condition.

I, for myself and for my heirs, legal representatives, and assigns, in consideration of allowing me to participate in the above-named activity, covenant with Highland City its heirs, officers, agents, volunteers, or employees, to never institute any suit or action at law or in equity against Highland City its officers, agents, volunteers, or employees, by reason of any claim I may have that arises out of my participation in the above-named activity.

I, for myself and for my heirs, legal representatives, and assigns, do herby release, acquit, and forever discharge Highland City, its officers, agents, volunteers, or employees and each of them for and from any and all claims, cause of action, suits, damages, injuries, and liabilities of every kind and nature, known or unknown, arising out of my participation in the above-named activity.
I agree to the Terms and Conditions
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