CCCMB Waiver Form

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CCCMB Waiver Form

This waiver form is required by all volunteers who work with CCCMB on trail projects within San Luis Obispo County. Please fill out all information, read the "release of liability" at the end and submit this form. It will be kept on file by CCCMB for one year. This information will not be given away or sold to any third party and will be used only by the Central Coast Concerned Mountain Bikers for its intended purpose as a liability waiver.

Would you like to receive the CCCMB Newsletter *

Yes, please add my email address to receive the CCCMB newsletter (only)

No Thanks, I'll pass at this time.

Required

First Name *

Last Name *

Name of children

List all first and last names of children attending under your custody

Complete address, City, State, Zip *

Phone Number (xxx-xxx-xxxx) *

Emergency contact *

provide first name, last name, phone number, relationship

Please read the paragraph below and check the boxes *

I have read and accept the terms and conditions listed in the text above

I have read and will comply with the CCCMB Covid Guidelines for safe trail work practices

I accept the use of my typed name (below) in lieu of a legal signature

Required

Signature - Please type your complete name in lieu of a legal signature. *

Submit

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