Event Waiver Form
Event Name
Event Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Personal & Contact Information
Name
First Name
Last Name
Date Of Birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Release
I, undersigned, agree with the following statements
Liability Release: Even with the best of planning and precaution, unforeseen events can occur. By signing this form, I agree to assume and accept all risks and hazards inherent in the activities. They also agree not to hold activity holder or its employees or volunteer assistants liable for damages, losses, or injuries to the person or property undersigned.
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Signature
Submit
Submit
Should be Empty: