Wristband Waiver Form

Please fill out the below form if you purchased wristbands with the paper order form (not online) and did not fill out the waiver on the backside correctly. You most likely received an email or were contacted indicating that you need to fill this out. Thank you! Please email tammy.dunst@gmail.com with any questions or issues.

View PDF of Waiver

20th Anniversary Festival - Wristband Waiver Form

IMPORTANT: all wristband purchases require the names of users plus parental approval. Please enter all required waiver information below. Click on links above to see full waiver.
  • Please list the name of the teacher at Canyon Rim for your youngest child.
  • PTA Waiver - Mandatory for all wristband users

  • List full names of all family members who will participate in all PTA sponsored events for the school year 2017 to 2018, which will include, but is not limited to the following: CANYON RIM 20TH ANNIVERSARY FESTIVAL (wristband users only)
  • The undersigned parent or guardian assumes all risks in connection with the family’s participation in any and all of the PTA sponsored activities. I, the undersigned participant, intending to be legally bound, do hereby for myself and heirs, executors, administrators and assigns, forever waive release and discharge the California State PTA, all PTA officers, employees and agents from all liability, claims or demands for any damage, loss or injury to the student, the student’s property, or parent’s property or to myself in connection with participation in these activities, unless caused by the negligence of the PTA. I do hereby certify that to the best of my (our) knowledge and belief said parties are in good health and of sound mind. In case of illness or accident, permission is granted for emergency treatment to be administered. It is further understood and agreed that the undersigned will assume full responsibility for any such action, including payment of costs. I attest and verify that I am physically fit and able to participate in this event and acknowledge that I am aware of the inherent risks in participating in any athletic event. I (we) hereby advise that the above named minor has had the following allergies, medicine reactions or unusual physical condition which should be made known to a treating physician or which could limit participation: If none please write none.
  • Please type Parent/Guardian/Participant Name (person responsible for agreeing to waiver)