Mainstreet Life Church Group Waiver

Group Waiver
Participant Name

First NameLast Name
Participant Date of Birth

MonthDayYear
Date
Age
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
I agree to release The Ribbon at Glass City Metropark, Metro Parks Toledo, and GLS SFM, LLC, and Sports Facility Management, its employees and agents from all claims, damages and actions of the above named participant or their parent/guardian. I assume full responsibility for any bodily injury that may occur as a result of the inherent risk of facility activities. I understand that any participant who causes damage or intentional injury will be suspended from the program without refund. I also agree to allow photographs and video during program participation that will use for promotional pieces for the The Ribbon at Glass City Metropark. I have read these terms and conditions and I agree to them.
Participant Signature or Parent/Guardian Signature

Clear
Should be Empty: