Emergency Contact, Release & Waiver of Liability, Assumption of Risk, Parental Consent, & Indemnity Agreement Form(s)
Please complete this form prior to your first lesson.  Update this form when your information changes.

In accordance with SSI (Safe Sport International), parent(s)/guardian(s) must be on site during the entirety of the lesson.
Sign in to Google to save your progress. Learn more
Rider Name *
Emergency Contact Name *
Please note this cannot be the rider.
Emergency Contact Phone Number *
Additional emergency contact phone number
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy