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SHAC - Liability Waiver
LIABILITY WAIVER:
In consideration of my selected program(s), I do hereby for myself, heirs, executors, or assigns waive and release any and all rights and claims for damages I may have against Sky High Adventure Center Inc., and any and all sponsors and their representatives, and assigns or any official or participant for any and all injuries I may suffer in connection with Sky High Adventure Center Inc. Programs, property or facilities. Further, I stipulate that I am physically fit and capable to participate in the program(s) selected. And I hereby grant full permission to any and all the foregoing to use any photographs, videotapes, motion pictures, recordings or any other record of this event for any legitimate purpose. I also grant permission to use my contact information to receive updates and news about the SHAC Center
Program or Event
Select the program or event you're attending.
select one
Art
BYOD/Technology
Childcare/Daycare/Aftercare
Event Space
Flowriders/RedTails
Fundraiser/Fair
Music
Quilting
Strength and Agility
Tennis/Pickle Ball
Writing
Yoga
Other/Not Listed
Contact Information
Name - Legal Guardian's Full Name if under 18 years of age
First Name
Last Name
Email
Verify Email
Phone
Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Participant's Full Names and ages, separated by commas
Example: John Smith 8, Suzie Jones 10
Emergency Contact - Name and Phone
Special Conditions
Include any allergies, medications, or other special conditions.
Legal Guardian's Signature
Typing your full legal name in uppercase serves as a digital signature