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General Release of Liability, Photography/Videography Waiver and Emergency Contact Contact

Please fill out the following form
in order to participate in our activity.

Section 1 General Information

Section 2 Medical Information, and Liability Release

1. Have you been hospitalized in the last 12 months?
3. Do you have a disability, illness, or injury tat requires any specal consideratins/ assistace or adaptation for our Snowmobile Reintegraton?
2. Are you suffering from a medical condition, illness, or injury, or dsability?
4. Are you in able body heath to particpate in this program

Emergency Contact in case of emergency

Section 2 Camp Rules and release of Liability from Program and Hold Harmless Agreement

Section 3 Release of Photography and Videography

Thanks for submitting!

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