Participation Waiver And Release Form

Participation Waiver And Release Form
Participant Name

First NameLast Name
DOB

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
I understand that participation in drivers education and behind the wheel training involves inherent risks, including accidents, injury or death.

I volunatarily agree to release and hold Harmless Road Ready Driving School, its instructors, and affiliates from any liability arising from participation , except in cases of gross negligence.

I authorize emergency medical care if necessary and accept finiancial responsibility for any treatment.

I have read and agree to the liability waiver.
Parent Signature
Today's Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty: