Waiver Signing Form | Sleep Late and Hike

Select Event Title *

Event Organizer

Date

Event Type

Is your Covid-19 fully vaccinated date at least 3 weeks ago on your Vaccination card? *

Yes

No

Paragraph

Will you be fasting on the day of the event? *

Yes

No

Will you bring at least 1.5 Liters of water for this hike? *

Yes

No

Note:

Do you have a history of heart, high-blood pressure, are pregnant, or any other medical condition that may be adversely affected by exercise? *

Yes

No

Note:

Upload Doctor's Note Here: *

Maximum upload size: 2.1MB

Participant's Real First Name and Last Name *

Participant is at least 18 years old *

Yes

No

Participant's Email *

Parent/Gaurdian First Name and Last Name *

Parent/Guardian Email *

First and Last Name of Contact *

Relation to Individual *

Your relation to this person

Phone Number *

Primary

Allergies/Special Health Considerations *

License Plate *

Make *

Model *

First and Last Name of Carpooler

Phone Number

Primary