Waiver Form Beach 45th/46th street

1

Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

Do you need community service hours?* This field is required.Please pick up your certificate at the check-in table after the cleanup.

YESNO

4

Is this first time attending a beach cleanup?* This field is required.

YESNO

6

Are you over 18?* This field is required.

YESNO

7

Parent/Legal Guardian Name* This field is required.

First Name

Last Name

8

Parent/Legal Guardian Email* This field is required.

example@example.com

9

Parent/Legal Guardian Liability Waiver & Consent * This field is required.

10

Waiver of Liability & Consent Form * This field is required.

11

Signature* This field is required.