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

Postal Code

Minor's Postal Code

Phone Number

Legal Guardian Phone Number

Legal Guardian Address

Birth Date XX/XX/XXXX

I am over 18 years old?

Yes
No

I indicate that I (minor) have read and agree with the skatepark agreement - TYPE NAME in BOX

GUARDIAN OF MINOR

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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