Dozer Day® Waiver

"*" indicates required fields

Attendee or Volunteer Name*
Parent/Guardian Name (if applicable)
This waiver needs to be signed for attendees under the age of 18 by a parent/guardian. Please also submit for yourself as a parent/guardian. Volunteers must be at least 14 years old. If a volunteer is under 18 years of age, a parent/guardian must sign this document.
If you would like a copy of this form sent to you for your records, please enter an email address.