Lake Activities Waiver of Claims for Minors Parent / Guardian Name *Student Name *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeParent / Guardian Phone *Parent / Guardian Email *Student Email *School or OrganizationPhotography 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 WaiverMessageSubmit Like this:Like Loading...
