Waiver
Please print this page, have parents sign and bring to Pusher event.
Date___________________________,2009 Event: Alberta Corridor Pusher
Name(Rider)__________________________________________ Age_________________
Residence (city and state only)_____________________________________________________________
Parent or Legal Gaurdian(Please Print)__________________________________________ Am giving consent to above rider to participate in this event, and have explained event rules and local laws as well.
Parent or Legal Guardian(Please Sign)___________________________________________