Release and Waiver Form

Please complete the form below before participating in the obstacle course.

Before participating in the Village of Barnwell Obstacle Course, a parent or guardian must complete this release and waiver form. Please provide the requested contact and participant information, review the waiver carefully, and sign the form before submitting.


Release and Waiver

This field is for validation purposes and should be left unchanged.
Parent Name(Required)
Participant Name(s)
MM slash DD slash YYYY
Participant Name(s)
MM slash DD slash YYYY
Participant Name(s)
MM slash DD slash YYYY
Participant Name(s)
MM slash DD slash YYYY
Participant Name(s)
MM slash DD slash YYYY
Clear Signature

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