Water Park Release Waiver

Water Park Release Waiver
Please complete this form to participate in water park activities. Your information helps us ensure your safety and understanding of the associated risks.
Participant's Full Name
First NameLast Name
Date of Birth
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Home Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Emergency Contact Name
First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Please list any allergies or medical conditions we should be aware of
Are you the legal guardian of the participant?
Participant/Parent or Guardian Signature
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