Liability Waiver Form

Liability Waiver Form

For activities and special events at La Grange Railroad Museum
Parent/Guardian/Caregiver Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Participant 1's Name*

First NameLast Name
Date of Birth*

MonthDayYear
Participant 2's Name

First NameLast Name
Date of Birth

MonthDayYear
Participant 3's Name

First NameLast Name
Date of Birth

MonthDayYear
Participant 4's Name

First NameLast Name
Date of Birth

MonthDayYear
Participant 5's Name

First NameLast Name
Date of Birth

MonthDayYear
Liability Waiver and Release of Claims:

By signing below, I acknowledge that participation in activities and special events at the La Grange Railroad Museum and Learning Center may involve inherent risks. I voluntarily assume all risks associated with these activities and hereby release, indemnify, and hold harmless the La Grange Railroad Museum and Learning Center, its staff, volunteers, and affiliates from any and all liability, claims, or demands arising out of my (or my child's) participation. I have read and understand this waiver and agree to its terms.
Signature (Participant or Parent/Guardian if under 18)*

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