RELEASE OF LIABILITY, WAIVER OFCLAIMS, ASSUMPTION OF RISKS AND INDEMNITY AGREEMENTFebruary 2nd, 2017
FiledFebruary 2nd, 2017Participant Last Name Participant First Name Participant Middle Name Date of Birth Address City Province/State Postal / ZIP Code Country Cell Phone Home Phone Work Phone Email Address Emergency Contact Emergency Phone
RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTION OF RISKS AND INDEMNITY AGREEMENTNovember 5th, 2014
FiledNovember 5th, 2014Participant Last Name Participant First Name Participant Middle Name Date of Birth Address City Province / State Postal / ZIP Code Country Home Phone Work Phone Cell Phone Email Address Emergency Contact Emergency Phone