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Waiver Form
Do NOT fill in participants you are not the parent or legal guardian of. Each family needs to fill out a separate form. If you are a participant who is 18/Above, you may fill out your name as both participant and parent.
Email address *
Participant #1, First & Last Name *
Your answer
Participant #2, First & Last Name
(if applicable)
Your answer
Participant #3, First & Last Name
(if applicable)
Your answer
Parent/Guardian, First & Last Name *
If you are a participant who is 18/Above, you may fill out your name as both participant and parent.
Your answer
By checking the box below, the above named parent/guardian releases from any liability, Dennis Drake, Drake Aquatics, or any other persons associated with Drake Aquatics, for any expenses, charges, or other costs or claims for damages or injury arising from participation in the class, clinic, or training session.The parent/guardian is aware of the potential for physical injury during participation in the class, clinic, or training session. *
Required
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