The Partner Foundation Waiver
Please complete the following waiver form for participation.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Birth
*
-
Month
-
Day
Year
Date
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Do you understand and accept the risks involved in the activity ?
*
Yes
No
Do you agree to follow the safety guidelines and instructions provided by the staff/volunteers?
*
Yes
No
Signature
*
Continue
Continue
Should be Empty: