Waiver Form for Day Trip

Waiver Form for Day Trip

Please provide details for yourself and/or any minors involved to complete the waiver.
Which event are you attending?
Are you filling this waiver for:
Adult Participant's Full Name

First NameLast Name
Adult Participant's Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Adult Participant's Email Address
example@example.com
Adult Participant's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
How many minors do you need to add?
Enter the total number of minors to add.
Minor Participant 1's Full Name

First NameLast Name
Minor Participant 1's Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Minor Participant 2's Full Name

First NameLast Name
Minor Participant 2's Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Minor Participant 3's Full Name

First NameLast Name
Minor Participant 3's Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Minor Participant 4's Full Name

First NameLast Name
Minor Participant 4's Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Parent/Guardian's Full Name (if signing for a minor)

First NameLast Name
Contact Number of Parent/Guardian (if signing for a minor)
Please enter a valid phone number.Format: (000) 000-0000.
WAIVER, RELEASE OF LIABILITY, ASSUMPTION OF RISK

Participation in activities such as kayaking, hiking, camping, and outdoor adventures involves inherent risks including injury, death, or property damage. These activities may involve water hazards, weather exposure, wildlife encounters, uneven terrain, and delayed emergency response. I voluntarily assume all risks, including those arising from negligence, and release Explore God's World, Inc. from all liability.
I agree that I (and any minors I am responsible for) ...
Signature of Adult Participant or Parent/Guardian
Date Signed

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