Voluteer Info *

First Name

Last Name

Phone *

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Under 18? Please enter parent info. Parent Name

First Name

Last Name

Parent/Guardian Phone

(###)

###

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Legal Representative Terms and Conditions *

I and my party acknowledge and understand that participation in Splash the Stigma involves inherent risks, including but not limited to property damage, injury, and death. I and my party hereby release The Beacon, its employees, officers, and agents, from any and all liability for any injuries, losses, or damages I may sustain while participating in this activity, regardless of whether such injuries or damages are caused by my own negligence, or the negligence or misconduct of The Beacon or any other party.