Board Member Waiver Form

Board Member Waiver Form
Please complete this form to acknowledge and accept the waiver terms for participation as a board member.
Full Name
First NameLast Name
Board/Organization Name
Role or Position on the Board
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Meeting/Event Date
MonthDayYear
Date
Waiver Acknowledgment
Signature
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Signature Date
MonthDayYear
Date
Should be Empty: