Form

FAVE BOATING EXPEDITIONS - PROJECT CORREGIDOR

Event and Program Liability and Publicity Waiver
First Name*
Middle Initial
Last Name*
I am a:*
On this event I will be a:*
This event is a:*
Event Date:*
/ Month / Day Year
If you have participated in a FAVE Boating Expeditions or Project Corregidor event or program in the past, and IF your contact information is already on file and has not changed, you can skip over the contact information section except for the phone & email address to continue and complete the form.

Home of Record

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Mailing Address (if different from Home of Record)

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone*
Phone Number*
- Area Code Phone Number
Phone
Phone Number
- Area Code Phone Number
Birth Date
Month Day Year
Gender
E-mail*
Please inform us of any condition (medical or physical) that we need to know about for your safety.
Publicity Permission:

Videotaping and/or photography may occur during an event or expedition. I understand that FAVE Boating Expeditions, Inc. may use such material in future publicity, their website and/or any additional outlets for educational and/or promotional efforts. I consent to having my voice and/or image recorded or photographed for use as outlines above.
I agree to the above Publicity Permission*

Yes No
My Initials act as my signature:*
Liability Release:

I understand and agree to hereby release FAVE Boating Expeditions Inc, its Directors, Officers, Employees, Agents, Representatives and Volunteers, and each of them, and any related parties from any and all claims for injury, death or property damage suffered by me either as a willing participant or as a spectator throughout an activity or event that was conducted by or made possible by the efforts of FAVE Boating Expeditions and any of its “Parties Released” as stated above, even if such is caused by the negligence or fault of the “Parties Released”.
I agree to the above Liability Release*

Yes No
My Initials act as my signature:*
Date Submitted
/ Month / Day Year
FAVE Boating Expeditions and Eyes on the Sky's - Project Corregidor appreciates the sacrifice and service made by all our military heroes and their families.
Should be Empty:

FAVE BOATING EXPEDITIONS - PROJECT CORREGIDOR

Publicity Permission:

Liability Release: