Wellness Warriors Waiver and Release of Liability 2020 for GUESTS
Email address *
Your first name *
Your last name *
I am 18 years of age or older *
I certify that I am able to swim or tread water for extended periods while wearing a personal flotation device (PFD). *
Which event are you attending? *
Please indicate your host's name here. This will be the name of a sponsoring organization (e.g. CRA, SGH), the name of a WW member (your paddler friend's name), or the name of your home dragon boat team. *
INFORMATION FOR BALANCING THE BOAT
Please provide your height and weight. The coaches use this information for seating the boat.
Height (inches) *
Weight (pounds) *
YOUR CONTACT INFORMATION
Street Address *
City/Town *
State *
Zip code *
Phone number (xxx-xxx-xxxx) *
EMERGENCY CONTACT
Name of Emergency Contact *
Best phone # for emergencies (xxx-xxx-xxxx) *
Electronic signature *
Required
A copy of your responses will be emailed to the address you provided.
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