Waiver
This form is required for visitors and non-members to participate in events at our property. Thank you for your interest in our programs!
List all participants covered by this liability release.
Please list.
Parent or Legal Guardian
First Name
Last Name
Email
*
example@example.com
Reason for Visiting TRAK?
*
Tour
Birthday Party
Field Trip
Special Event
Horseback Riding
Tiny Trailblazers
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Release of Liability and Waiver
This form is mandatory.
*
Waiver Liability Consent
*
YES- I consent to signing the Release of Liability
NO- I do NOT consent to signing the Release of Liability
Waiver Signature
*
Date
*
-
Month
-
Day
Year
Date
Photo Release
*
Yes-unrestricted
No-deny permission
Photo Release Signature
Date
-
Month
-
Day
Year
Date
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
Other
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
Should be Empty: