Event Details

• First Name
• Last Name
• Email Address
• Phone Number
• Street/PO Address
• City
• State
• Postal/Zip Code
waiver == "Y"){ ?>

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Event Waiver/Disclaimer

waiver_content); echo($waivertext) ;?>
• I have read and agree to the terms of the event waiver/disclaimer:  Yes     No

Enter the security code as it is shown (required)