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UNDER 18 Skatepark Waiver
Please read the waiver release and digitally sign acknowledgment below:
Personal Information
First Name
Minor's First Name
Last Name
Minor's Last Name
Email Address
Legal Guardian
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Address Line 1
Minor's Address
Address Line 2
Minor's Address
City
Minor's City
State
Minor's State
Select State
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Postal Code
Minor's Postal Code
Phone Number
Legal Guardian Phone Number
Legal Guardian Address
Birth Date
Birth Date XX/XX/XXXX
I am over 18 years old?
Yes
No
Under 18 years old
I indicate that I (minor) have read and agree with the skatepark agreement - TYPE NAME in BOX
I indicate that I (minor) have read and agree with the skatepark agreement - TYPE NAME in BOX
GUARDIAN OF MINOR
Emergency Contact
Emergency Contact Name
Emergency Contact Phone
Rules and Regulations
Check box to confirm you have read the rules/regs
I understand that Helmets are required for those UNDER 18 years old
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Yes
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