Consent and Waiver Form

Consent and Waiver Form

Please complete this form to provide your consent and acknowledge the waiver of liability.

Personal Information

Name

    Address

      Phone number

        Email

          Description of Activity/Event

          Please describe the activity or event for which you are providing consent

            Consent and Acknowledgment

            I hereby give my consent to participate in the above-described activity/event. I understand and acknowledge the risks involved and agree to waive any claims of liability against the organizers, sponsors, or participants.

            Emergency Contact Information

            Name

              Phone number

                Relationship

                  Signature

                  Name:

                  Date:

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