Student Name *

First Name

Last Name

Guardian Name *

First Name

Last Name

Phone Number *

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Emergency Contact Number *

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Acknowledgement of CONSENT, WAIVER, RELEASE & INDEMNITY AGREEMENT *

CLICK HERE FOR CONSENT, WAIVER, RELEASE & INDEMNITY AGREEMENT

BY CHECKING THIS BOX I HEREBY AFFIRM AND ACKNOWLEDGE THAT I HAVE READ THE CONSENT, WAIVER, RELEASE & INDEMNITY AGREEMENT AS DETAILED IN THE LINK ABOVE; I HEREBY AFFIRM AND ACKNOWLEDGE THAT I UNDERSTAND ITS CONTENTS AND AGREE TO BE BOUND THEREBY. IF I AM UNDER THE AGE OF EIGHTEEN YEARS, MY PARENT/GUARDIAN HAS READ AND COMPLETED THE SECTION ABOVE.