Triumph Foundation

Liability Waiver


Name of event:  

Name:  

DOB:  

Email:  

Phone:  

Address:  

Veteran:  

Gender:  

Are you a person with a disability?:  

If Yes:

-- Disability Type:  
-- Description:  
-- Date of injury/diagnosis:  
-- Cause of injury:  

If No: 

-- Does your family member (or loved one) have a disability?:  
-- Tell us more:  

 

Is this your first Triumph Event?:  

Emergency contact name:  

Emergency contact number:  

Are you under the age of 18?:  

Parent/Guardian Name:   

Relationship:  

Parent/Guardian Phone:  

I agree to be on-site and provide supervision during the volunteer service:  

I/WE HAVE READ THE ABOVE WAIVER AND RELEASE, UNDERSTAND THAT I/WE HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, HAVE NOT CHANGED IT ORALLY, AND SIGN IT VOLUNTARILY.:  

FOR MINOR AGE PARTICIPANTS - This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of TRIUMPH FOUNDATION and/or any of the Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child's involvement or participation in these programs as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE.:   

Leave this empty:

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Signed by Andrew Skinner
Signed On: May 20, 2020

Triumph Foundation https://triumph-foundation.org
Signature Certificate
Document name: Liability Waiver
lock iconUnique Document ID: bc7d988ac98b002449f6e9113b69c05bc7eb5ba9
Timestamp Audit
May 20, 2020 3:40 pm PDTLiability Waiver Uploaded by Andrew Skinner - [email protected] IP 45.49.123.176