New Mexico Ascent Liability Waiver and Release Form

New Mexico Ascent Liability Waiver and Release Form
Full Name

First NameLast Name
Date of Birth

MonthDayYear
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Emergency Contact Information

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Date

MonthDayYear
Date
Signature
Parent/Guardian Consent (Required if Participant(s) is Under 18)

I am the parent or legal guardian of my minor child(ren). I have read and understand this Waiver and Release Form, and I consent to the minor's participation in NM Ascent activities and agree to the terms herein on their behalf.
Signature
Should be Empty:

Parent/Guardian Consent (Required if Participant(s) is Under 18)