Maine Young Birders Club Acknowledgement and Assumption of Risk, Release, and Indemnity Agreement
Review the waiver text (repeated below for your reference), then provide your details and required acknowledgment and signature for Maine Young Birders Club activities.
Parent First Name
*
Parent Last Name
*
Parent Email
*
example@example.com
Children's Names
*
Street Address
*
City
*
State
*
Zip Code
*
Cell Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date
*
-
Month
-
Day
Year
Date
I have read and understand this Agreement and agree to be bound by its terms.
*
I have read and understand this Agreement and agree to be bound by its terms.
Signature
*
Submit
Submit
You will receive email confirmation and a copy of the waiver for your records.
Should be Empty: