YMCA of Greenwich Trailblazers Sign Up Form

YMCA of Greenwich Trailblazers Sign Up Form & Waiver
Full Name*

First NameLast Name
Cell Number*
E-mail*
example@example.com
Which hike will you be joining the YMCA of Greenwich Trailblazers for?*

Saturday, October 19th - Babcock Preserve
Release:

In consideration of my participation in this activity (The Greenwich YMCA Trailblazer Club), I hereby release and discharge the Organization, and its representatives, successors, and assigns, from any and all liability arising from accident, injury, and illness that I (he/she) may suffer as a result of my participation in this activity. I also will follow the rules and regulations set by the Organization and above named parties. I do hereby grant and give these groups the right to use my photograph or image with or without my name, both singly and in conjunction with other persons or objects and presentations, advertising, publicity, and promotion relating thereto.
Confirmation BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
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YMCA of Greenwich Trailblazers Sign Up Form & Waiver