I, the undersigned parent or guardian, hereby acknowledge that the participation of my minor child in the following activity is voluntary and entails certain inherent risks. I accept full responsibility for any injury or accident that may occur during participation.

Minor's Information

Full Name:

Date of Birth:

Activity:

Parent/Guardian Information

Full Name:

Relationship to Minor:

Phone Number:

Waiver and Release

I fully understand and acknowledge that participation in this activity may involve risks not known to me or my minor child.
I agree to release and hold harmless the organizers, staff, and facility from any and all liability, claims, or damages arising from participation.
I certify that my minor child is physically fit and able to participate in this activity.

Emergency Contact

Name:

Phone Number:

Signature

Parent/Guardian Signature:

Date:

Minor Child Activity Waiver

Minor's Information

Parent/Guardian Information

Waiver and Release

Emergency Contact

Signature