Adult Waiver for IHS Tours
Waiver and Release of Liability, Indemnification and Hold Harmless Agreement
Name of Participant
*
First Name
Last Name
Group organizing the Tour:
*
Address of Participant
*
Street Address
Street Address Line 2
City
Province
Postal Code
Phone Number
*
Email
*
example@example.com
Photo Release: I hereby give my permission to the IHS and to the photographer, my free and unlimited consent and permission to publish/broadcast, republish/rebroadcast or exhibit the furtherance of their work, with or without identification of me by name, any photographs, videos or audios of myself, that have been obtained from participation at the Idaho Humane Society. I furthermore waive any and all claims for any compensation by reason thereof or for damages for reasons thereof.
*
Yes
No
Signature of Parent/Guardian
Date signed by Parent/Guardian
*
-
Month
-
Day
Year
Date
Submit
Should be Empty: