SKATEBOARDING RELEASE & INDEMNITY AGREEMENTRelease & Indemnity Agreement • October 28th, 2020
Contract Type FiledOctober 28th, 2020PARTICIPANT'S FULL NAME (LAST, FIRST) MIDDLE INITIAL BIRTHDATE (MO./DAY/YEAR) AGE CIRCLE ONEF M HOME ADDRESS CITY/STATE/ZIP HOME PHONE MOTHER'S NAME WORK PHONE FATHER'S NAME WORK PHONE PARENT/GUARDIAN E-‐MAIL ADDRESS EMERGENCY CONTACT WORK PHONE