Freestyle Activity Waiver | Lost Valley

Your Name*

Must be a Parent or Guardian 18+

Email*

Phone*

Participant Name*

Participant Date of Birth (Ex. 03/02/1981)

Do you need to add another participant?*

Participant Name

Participant D.O.B (Ex. 03/02/1981)

Do you need to add another participant?

Participant Name

Participant D.O.B (ex. 03/02/1981)

Event Waiver Applies to:

Waiver Agreement*

I agree to the Terms of the Release of Liability Recreational Jumping Exhibition, for all participants listed on this form

By Checking this box you agree to the terms of the waiver linked to on this page.

Digital SIgnature*

By Typing your name below you agree that you are 18 years old or older, and are authorized to complete this form and agree to the terms of this waiver on behalf of yourself and all participants listed on this page.

Name

This field is for validation purposes and should be left unchanged.