ASSUMPTION OF RISK, WAIVER OF LIABILITY, AND INDEMNITY AGREEMENTMichigan • July 29th, 2014
Jurisdiction FiledJuly 29th, 2014Adult First Name: Adult Last Name: Adult Birth Date: Street: City: State: ZIP: Phone #: Email: Emergency Contact Name: Contact Phone #: Minor #1 First Name: Last Name: Birth Date: Minor #2 First Name: Last Name: Birth Date: Minor #3 First Name: Last Name: Birth Date: Minor #4 First Name: Last Name: Birth Date: