Camp Liability Waiver Form
Name of Participant
*
First Name
Last Name
Team Name
*
Please Select
1
2
3
4
5
6
7
8
9
Name of Parent/Guardian Completing the Waiver
*
First Name
Last Name
Address of Participant
*
Street Address
Street Address Line 2
City
Province
Postal Code
Phone Number
*
Email
*
example@example.com
Signature of Parent/Guardian
Date signed by Parent/Guardian
*
-
Month
-
Day
Year
Date
Submit
Should be Empty: