Ropes Course Liability Waiver Form
Please complete this form before participating in the ropes course. Read the waiver carefully and provide your information below.
Participant 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
*
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Ropes Course Participation
*
-
Month
-
Day
Year
Date
If the participant is under 18, please provide the name of the parent or legal guardian completing this form. (Leave blank if not applicable)
Participant or Guardian Signature
*
Submit Waiver
Submit Waiver
Should be Empty: