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
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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