Waiver (keep hidden) | Dehghan Lodge

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Updated Waiver coming soon.

Liability Waiver (EXAMPLE)

First name

Last name

Email

Date of Birth

Do you have a doctor’s permit to participate in intense physical activities?

No

Yes

Please specify anything we should know about

Initials

I declare that the info I’ve provided is accurate & complete

I hereby acknowledge this release from liability for accidental injury or illness which I may incur as a result of participating in any physical activity. I hereby assume all risks connected therewith and consent to participate in this program. I agree to disclose my physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in this program.

Thanks for submitting!

CONTACT US

Office Address:

201-56 Lincoln Park

Canmore Alberta

T1W 3E9

Phone number: 403 678 6522

Email: info@dehghanlodge.ca

QUICK LINK

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