Waiver
This form is required for tours of our property. Thank you for your interest in our program!
Adult Visitor's Name
First Name
Last Name
Child or Youth Visitor
First Name
Last Name
Additional Child or Visitor
First Name
Last Name
Any additional visitors?
Please list.
Parent or Legal Guardian
First Name
Last Name
Email
example@example.com
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Release of Liability and Waiver
This form is mandatory.
*
List all participants covered by this liability release
*
Waiver Signature
*
Date
*
-
Month
-
Day
Year
Date
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Photo Release
Yes-unrestricted
No-deny permission
Photo Release Signature
Date
-
Month
-
Day
Year
Date
Date Picker Icon
Demographic Information
TRAK relies on grants to support its programs. Grantors frequently ask us for the following information, and your response is completely optional. Thank you!
Ethnicity
Prefer not to answer
White
Black or African-American
Asian
Native American
American Indian or Alaskan Native
From multiple races
Household income
Less than $10,000
$10,000-$24,999
$25,000-$49,999
$50,000-$74,999
$75,000-$99,999
$100,000-$149,999
$150,000 or greater
Prefer not to answer
Submit
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