SHAC 2026 Program Waiver & Release
Please complete the information below for all programs that at the SHAC Community Center.  All minors should complete this information with a parent or guardian.
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Email *
First Name *
Last Name *
Date of Birth *
MM
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DD
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YYYY
Address *
Phone (area code)XXX-XXXX *
Emergency Contact First Name *
Emergency Contact Last Name *
Emergency Contact (relationship) *
Program(s) you will be participating in *
Required
Liability Waiver Agreement
LIABILITY WAIVER: In consideration of my selected program(s), I do hereby for myself, heirs, executors, or assigns waive and release any rights and claims for damages I may have against Sky High Adventure Center Inc., and any sponsors and their representatives, and assigns or any official or participant for any injuries I may suffer in connection with Sky High Adventure Center Inc. programs, property or facilities.
Further, I stipulate that I am physically fit and capable of participating in the program(s) selected. And I hereby grant full permission to any of the foregoing to use any photographs, videotapes, motion pictures, recordings, or any other record of this event for any legitimate promotional and marketing purposes.  I also grant permission to use my contact information to receive updates and news about the SHAC Center. 
By entering my full name below, I agree to the terms of this liability waiver.
*
Parent Consent and Liability Waiver Agreement
I grant permission for my child to participate in the programs at the Sky High Adventure Center Inc. (SHAC Center).
LIABILITY WAIVER: In consideration of my selected program(s), I do hereby for myself, heirs, executors, or assigns waive and release any rights and claims for damages I may have against Sky High Adventure Center Inc., and any sponsors and their representatives, and assigns or any official or participant for any injuries I may suffer in connection with Sky High Adventure Center Inc. programs, property or facilities.
Further, I stipulate that I am physically fit and capable of participating in the program(s) selected. And I hereby grant full permission to any of the foregoing to use any photographs, videotapes, motion pictures, recordings, or any other record of this event for any legitimate promotional and marketing purposes.  I also grant permission to use my contact information to receive updates and news about the SHAC Center. 
By entering my full name below, I agree to the terms of this liability waiver and that my child has permission to participate in SHAC Center programs.
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