Waiver - Minor - Waiver of Liability, Release, and Assumption of Risk

Waiver of Liability, Release, and Assumption of Risk
Participant's Name*

First NameLast Name
Is participant a minor?*

YesNo
Age of minor
Date of Birth of minor
Click "Save and Add Row" to add more participants.
Is participant Native Hawaiian?*

YesNo
Address*

City

Postal / Zip Code
Email*
example@example.com
Signature*

Clear
Name of Signatory. (adult participant, parent or guardian)*

First NameLast Name
Date*

MonthDayYear
Date
Should be Empty: