Participant Agreement – ISLAND AQUA PARK

Enter the information for the participating adult ( one waiver for each adult is required )

Participant Name(Required)

First Last

Phone(Required)

Address(Required)

Street Address City State ZIP Code

Email(Required)

Participant Signature(Required)

Any participants under the age of 18?

Yes

Enter the information for anyone under 18 participating below

Under 18 Participant Information(Required)

Name

Age

Parent/Guardian Name(Required)

First Last

Parent/Guardian Signature(Required)