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WAIVER
PRIVATE EVENTS
GAME OF SKATE ENTRY
SHOP
Home
Mail
Liability Waiver
Skater First Name
Last Name
Email
Date of Birth
Has a medical professional advised you not participate in intense physical activities?
No
Yes (Viewer Only, No Skating)
I declare that the info I’ve provided is accurate & complete. I understand the use of protective equipment is strongly advised including helmets, knee & elbow pads, and wrist guards. I'm skating at my own risk.
Your Signature
Clear
I hereby acknowledge this release from liability for accidental injury or death which I may incur as a result of participating in any physical activity here. I hereby assume all risks connected with and consent to participate. I agree to disclose my physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in this program safely.
Emergency Phone
Initials (Guardian if under 18)
Submit
Guardian ID
Copy of ID
Upload supported file (Max 15MB)
Thanks for submitting!
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