Post by pandaking on Dec 14, 2009 17:49:41 GMT -6
IF PARTICIPANT IS UNDER THE AGE OF 18 YEARS PARENT OR GUARDIAN MUST READ THIS FORM AND SIGN BELOW.
INCLUDE THIS WITH A COMPLETED ADULT WAIVER
By signing this form the guardian also agrees and consents to all things stated in the adult waiver.
This is to certify that I, as a parent or guardian, with legal responsibility for this participant, do consent and agree not only to his/her release of the NEAAirsoft EVENT:_________________ and all other releases but also to release and indemnify the Releases from any and all liabilities incident to his/her involvement in these programs for myself, my heirs, assigns, and next of kin.
_________By initialing this I agree to give permission to event agents and staff to seek out any necessary medical attention needed by the participant named in this release/ waiver and at my own expense.
Please explain: ______________________________________________________
______________________________________________________________________
_________By initialing here I state that no medical attention may be given to the participant named in this release. Please explain: _______________________________________________________________________
PARTICIPANT’S NAME: _______________DATE OF BIRTH: _________
GUARDIAN’S NAME: __________________DATE OF BIRTH: _________
GUARDIAN’S SIGNATURE: X_______________
DATE OF SIGNATURE: ______________
PHONE #:_____________ ALTERNATE PHONE #: _______________
ADDRESS: ___________________________________________
E-MAIL:_____________________
INCLUDE THIS WITH A COMPLETED ADULT WAIVER
By signing this form the guardian also agrees and consents to all things stated in the adult waiver.
This is to certify that I, as a parent or guardian, with legal responsibility for this participant, do consent and agree not only to his/her release of the NEAAirsoft EVENT:_________________ and all other releases but also to release and indemnify the Releases from any and all liabilities incident to his/her involvement in these programs for myself, my heirs, assigns, and next of kin.
_________By initialing this I agree to give permission to event agents and staff to seek out any necessary medical attention needed by the participant named in this release/ waiver and at my own expense.
Please explain: ______________________________________________________
______________________________________________________________________
_________By initialing here I state that no medical attention may be given to the participant named in this release. Please explain: _______________________________________________________________________
PARTICIPANT’S NAME: _______________DATE OF BIRTH: _________
GUARDIAN’S NAME: __________________DATE OF BIRTH: _________
GUARDIAN’S SIGNATURE: X_______________
DATE OF SIGNATURE: ______________
PHONE #:_____________ ALTERNATE PHONE #: _______________
ADDRESS: ___________________________________________
E-MAIL:_____________________