Go-Karting Liability Waiver Form
Please complete this waiver before participating in go-karting activities.
Full Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship to Emergency Contact
*
Do you have any medical conditions or allergies we should be aware of?
Participant Signature
*
Submit Waiver
Submit Waiver
Should be Empty: