Liability Waiver and Media Release — Pursuit Adaptive Sports and Recreation

Please read the Liability Waiver and Media Release information carefully, then provide the required information to sign the Liability Waiver and Media Release form.

NOTE: Participants and volunteers are required to sign the liability waiver and media release form prior to their first event of the calendar year.

Liability Waiver

I HAVE CAREFULLY READ THIS AGREEMENT AND UNDERSTAND ITS CONTENTS. I AM AWARE THAT I AM RELEASING LEGAL RIGHTS THAT OTHERWISE MAY EXIST

Media Release

I GIVE FULL CONSENT TO RELEASED PARTIES TO COPYRIGHT AND/OR PUBLISH FOR PUBLIC VIEW ANY AND ALL PHOTOGRAPHS, DIGITAL RECORDINGS, VIDEOTAPES, AND/OR FILM IN WHICH I APPEAR

I DO NOT GIVE FULL CONSENT TO RELEASED PARTIES TO COPYRIGHT AND/OR PUBLISH FOR PUBLIC VIEW ANY AND ALL PHOTOGRAPHS, DIGITAL RECORDINGS, VIDEOTAPES, AND/OR FILM IN WHICH I APPEAR

Emergency Contact Name

First Name

Last Name

Emergency Contact Phone Number

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Today's Date:

MM

DD

YYYY

Your Full Name

BY TYPING YOUR FULL NAME, YOU ACKNOWLEDGE YOU'RE SIGNING THIS FORM

PRIVACY POLICY: Your information will remain confidential. Pursuit will not sell or otherwise disclose your personal information.