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Release and Waiver of Liability and Indemnity Agreement
Please read the
HEMAA and WSTR waiver
, then fill out this form.
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* Indicates required question
Preferred Name and Pronouns
Your answer
Adult Guardian Name (If participant is a minor)
Your answer
Name
*
Your answer
Email address
*
Your answer
Separate email (if minor)
Your answer
Mailing Address
*
Your answer
Phone Number
*
Your answer
Birthday
*
MM
/
DD
/
YYYY
Are you a HEMA Alliance member
*
Yes
No
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