Please initial here:
Please initial here:
Please initial here:
Please initial here:
Please initial here:
Please initial here:
Please initial here:
Please initial here:
Please initial in acceptance of this waiver and release of liability. Parents/Guardians need to complete for any participants under the age of 18.
Please write your FULL NAME:
Please provide your initials in acceptance of this waiver and release of liability.
Start date of visit: *
Start date of visit:
End date of visit: *
End date of visit: