Ride Kanuga Waiver
Complete this waiver form and review the full waiver text before signing.
Participant Information
Adult Participant Full Name
*
First Name
Last Name
Is the participant a minor?
*
Please Select
No (Adult Participant)
Yes (Minor Participant)
Minor Participant's Legal Name
First Name
Last Name
Parent or Legal Guardian's Name
First Name
Last Name
Parent or Guardian's Relationship to Minor
Emergency Contact Information
Emergency Contact Name
*
First Name
Last Name
Relation to Participant
*
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Agreement, Date, and Signatures
I have carefully read this Agreement, fully understand its contents, and sign it of my own free will.
Date of Agreement
*
-
Month
-
Day
Year
Date
Participant Acknowledgment of Assumption of Risk, Waiver, Release, Indemnity, Medical Consent, and Media Release
*
I have carefully read this Agreement, fully understand its contents, and sign it of my own free will.
Participant Signature
*
I am the parent or legal guardian of the Minor Participant and am authorized to sign this Agreement on their behalf.
Parent/Guardian Acknowledgment
I am the parent or legal guardian of the Minor Participant and am authorized to sign this Agreement on their behalf.
Parent/Guardian Signature
Submit
Submit
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