DOYOUGIVEARUCK Volunteer Waiver and Release Form
Event Name
*
Event Date
*
-
Month
-
Day
Year
Date
Volunteer Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
I acknowledge the Assumption of Risk
*
Yes, I acknowledge
I agree to the Release of Liability
*
Yes, I agree
I consent to the Photos and Media Release
*
Yes, I consent
Emergency Contact Name
*
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Volunteer Signature
*
Date
*
-
Month
-
Day
Year
Date
Parent/Guardian Signature (if under 18)
Date (if under 18)
-
Month
-
Day
Year
Date
Submit
Should be Empty: