Minor Waiver

Minor Waiver Acknowledgment Form

Please read the waiver below and acknowledge your understanding.
Please read the following waiver carefully before proceeding. By submitting this form, you acknowledge that you have read and understood the waiver terms. This form must be completed and signed by a parent or legal guardian before any minor (under 18 years of age) boards the Drumheller Pedal Tours pedal trolley. A minor may not sign this form on their own behalf. Please read carefully before signing.
Please read and check off the following requirements.

I understand that this activity involves inherent risks, including but not limited to: physical exertion from pedalling, and the risk of falls, strains, and collision. Uneven or changing road, weather and traffic conditions. Sudden stops, starts, shifts in balance of vehicle. Boarding, riding and exiting a moving or stationary bike. The presence and conduct of other passengers on board including adult guests.
Signature
Todays Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Tour Date and Time

MonthDayYear
2 digit month, 2 digit day, 4 digit yearundefined
Hour MinutesAM/PM Option
Legal Guardian Name

First NameLast Name
Relationship to Minor
Date of Birth

MonthDayYear
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Minor's Name

First NameLast Name
Minor Date of Birth

MonthDayYear
Should be Empty:

Minor Waiver Acknowledgment Form