Waiver Registration

ICON GLOBAL ADVENTURES, LLC - 0


In order to complete your liability waiver, enter your information below. If you are completing a waiver for your child, please enter your information in SECTION 1, and the child's information in SECTION 2.

SECTION 1: This section is to be filled out by an Adult (Participant / Parent / Legal Guardian)

Today's Date 12/12/2018
Relationship to Participant(s)
Driver's License / State Issued ID #
Birth Date
First Name
Last Name
Street
City
State
Zip
Email
Enter Password
Phone


SECTION 2: Child or Minor Registration Below by Parent or Legal Guardian


You can add up to 10 children to your waiver. Please click on the Add Button to add a child.
Child 1
First Name
Last Name
Child 1 Birth Date
Child 2
First Name
Last Name
Child 2 Birth Date
Child 3
First Name
Last Name
Child 3 Birth Date
Child 4
First Name
Last Name
Child 4 Birth Date
Child 5
First Name
Last Name
Child 5 Birth Date
Child 6
First Name
Last Name
Child 6 Birth Date
Child 7
First Name
Last Name
Child 7 Birth Date
Child 8
First Name
Last Name
Child 8 Birth Date
Child 9
First Name
Last Name
Child 9 Birth Date
Child 10
First Name
Last Name
Child 10 Birth Date