Senior Citizen Group Excursion Liability Waiver

Participant Full Name:

Date of Birth:

Emergency Contact Name:

Emergency Contact Phone:

Waiver and Release of Liability

I understand that participation in the Senior Citizen Group Excursion involves inherent risks, including the risk of injury or illness. I hereby waive, release, and discharge the organizers, their staff, volunteers, and affiliated entities from any and all liability, claims, demands, actions, or causes of action for any loss, damage, injury, or illness that may occur as a result of my participation.

I acknowledge that I am physically able to participate and will follow all safety instructions provided by the organizers.

I have read, understood, and agree to the terms above.

Participant Signature:

Date:

If participant is unable to sign, Authorized Representative Name:

Relationship to Participant:

Authorized Representative Signature:

Date: