Lake Activities Waiver of Claims for Minors Please enable JavaScript in your browser to complete this form.Student Name *Parent / Guardian Name *Parent / Guardian Phone *Parent / Guardian Email *Student Email *This email address will only be used for class or program reminders.Student School or OrganizationHome Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmail NotificationsWe will always send updates and reminders about your student's class or program. If you are interested in receiving news about Lake Champlain Maritime Museum's programs, camps, and rowing, please check the box below.Yes, I would like to receive emailsPhotography PermissionBy checking the box below you authorize the Lake Champlain Maritime Museum to photograph and/or videotape your child for publicity purposes. If you do not want your child to be photographed, please uncheck the box and submit the form.I give permissionWaiverParent / Guardian: By checking the box below you understand although very unlikely, injury can result while boating. You agree to release any and all rights and claims for damages against The Lake Champlain Maritime Museum, their staff, volunteers and sponsors that occur while your child uses LCMM boats and/or participates in LCMM sponsored maritime events.Waiver Acceptance *Parent Acceptance of WaiverEmailSubmit Like this:Like Loading...
