153d Airlift Wing, Wyoming Air National Guard Hold ...



153d Airlift Wing, Wyoming Air National Guard Waiver, Hold Harmless Agreement and Permission Slip

I, ________________________________ (Print name), the parent or legal guardian of __________________________________ (Child’s Full Name and Age) give my permission for my child to attend the _________________________________ CAP Program on __________________________(date) at Camp Guernsey, Guernsey, Wyoming. I fully understand that by signing this Waiver, Hold Harmless and permission slip I am waiving any and all liability claims and will hold the Wyoming National Guard, United States Air Force and all their employees harmless from any and all liability claims from any and all injuries to my child.

Signature of Parent/ Legal Guardian Date

Please provide the following emergency contact information:

Printed Name Parent: __________________________________________

Parent Address: _________________________________________________

Cell / Emergency number: _________________________________________________

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