Thank you for signing up for Pursuit Membership!

We’ll contact you if there are any issues with your membership information.

Please fill out the Liability Waiver and Media Release to complete registration.

Please read the Liability Waiver and Media Release information carefully, then provide the required information to sign the Liability Waiver and Media Release form.

NOTE: Participants and volunteers are required to sign the liability waiver and media release form prior to their first event of the calendar year.

Liability Waiver

I HAVE CAREFULLY READ THIS AGREEMENT AND UNDERSTAND ITS CONTENTS. I AM AWARE THAT I AM RELEASING LEGAL RIGHTS THAT OTHERWISE MAY EXIST

Media Release

I GIVE FULL CONSENT TO RELEASED PARTIES TO COPYRIGHT AND/OR PUBLISH FOR PUBLIC VIEW ANY AND ALL PHOTOGRAPHS, DIGITAL RECORDINGS, VIDEOTAPES, AND/OR FILM IN WHICH I APPEAR

I DO NOT GIVE FULL CONSENT TO RELEASED PARTIES TO COPYRIGHT AND/OR PUBLISH FOR PUBLIC VIEW ANY AND ALL PHOTOGRAPHS, DIGITAL RECORDINGS, VIDEOTAPES, AND/OR FILM IN WHICH I APPEAR

Emergency Contact Name

First Name

Last Name

Emergency Contact Phone Number

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###

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Today's Date:

MM

DD

YYYY

Your Full Name

BY TYPING YOUR FULL NAME, YOU ACKNOWLEDGE YOU'RE SIGNING THIS FORM

PRIVACY POLICY: Your information will remain confidential. Pursuit will not sell or otherwise disclose your personal information.

Pursuit Adaptive Sports and Recreation

Liability Waiver and Media Release