Aerial Arts Class Liability Waiver Form
Complete this intake and acknowledge the risks of participating in aerial arts classes.
Participant name
*
First Name
Last Name
Email address
*
example@example.com
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.
Aerial arts experience
*
Please Select
No prior experience
Some introductory experience
Regular practice
Extensive experience
Class level
*
Please Select
Beginner
Intermediate
Advanced
Not sure
Class date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Participant signature
*
Submit Waiver
Submit Waiver
Should be Empty: