Veteran Support Group Activity Waiver Form

Participant Information

Full Name Date of Birth Phone Number Email Address Emergency Contact Name Emergency Contact Phone

Activity Details

Activity Name Date of Activity

Medical Information

Relevant Medical Conditions / Allergies

Waiver & Release of Liability

I acknowledge that my participation in this activity is voluntary and may involve risks, including potential injury. I hereby release and hold harmless the Veteran Support Group, its organizers, and affiliates from any and all claims arising from participation in this activity.

I certify that the information provided above is accurate and complete.

Participant Signature

Date

Parent/Guardian Signature (if under 18)

Date