Roster of Participants and Waiver Agreement
The following persons are participating in in this trip with Catch A Smile:
______________________________ ___________________________
______________________________ ___________________________
______________________________ ___________________________
_____________________________ ___________________________
_____________________________ ____________________________
Organization: ________________________________________________________
Location: ___________________________________________________________
I, _________________________, have read and agree to the terms and conditions of the
Catch A Smile waiver. In addition I have the authority to accept these terms and
conditions on behalf of the participants listed above.
Signature:_____________________________ Date _____________________