Skate Park Liability Waiver Form
Complete this Skate Park Liability Waiver Form before participating. All participants (and parents/guardians for minors) must acknowledge the waiver and sign below.
Participant Full Name
*
First Name
Last Name
Participant Date of Birth
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Participant Email Address
*
example@example.com
Participant Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
If the participant is under 18, Parent/Guardian Name (leave blank if not applicable)
First Name
Last Name
Signature (Participant or Parent/Guardian if under 18)
*
Date Signed
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Waiver
Submit Waiver
Should be Empty: