wavier - Penguin Paragliding

Waivers

Please submit the following electronic waiver prior to your first day.

Electronic Waiver

Prior to your first day of instruction, please submit the electronic waiver below

Penguin Paragliding Participant Agreement

Release and Assumption of Risk
Your Name *

First Name Last Name
Birth Date *

Month Day Year
Date
Phone Number *
Please enter a valid phone number.
Email *
example@example.com
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Signature *

Clear
Today's Date *

Month Day Year
Date
Minor's Name (if applicable)

First Name Last Name
Parent or Guardian's Signature

Clear
Parent or Guardian's Name

First Name Last Name
Today's Date

Month Day Year
Date
Should be Empty:

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