2021 Waiver Form

RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK and INDEMNITY AGREEMENT (AGREEMENT)

Mandatory to attend Camp T-20 or use any of the facilities
Adult 1 *

First Name Last Name
Adult 2

First Name Last Name
Child 1

First Name Last Name
Birth Date Child 1

Month Day Year
Child 2

First Name Last Name
Birth Date Child 2

Month Day Year
Child 3

First Name Last Name
Birth Date Child 3

Month Day Year
Child 4

First Name Last Name
Birth Date Child 4

Month Day Year
Address *

Street Address

Street Address Line 2

City State

Zip Code
Waiver *
Name of Parent/Guardian

First Name Last Name
Signature Adult 1 *

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Signature Adult 2

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Email
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RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK and INDEMNITY AGREEMENT (AGREEMENT)