Liability Release Form

To:  The Coffman Company / Joey and Robyn Coffman

Event or Activity (Check all that apply)

If "Other", please specify:

Start of Event(s)

End of Events

Participant Name

I understand that participation in the above event or activity could include actions or tasks which might be hazardous. By signing below, I assume any risk of harm or injury which might occur due to my participation in the event or activity. I release The Coffman Company / Joey and Robyn Coffman from all liability, costs and damages which might arise from participation in the above named event or activity.

Electronic Signature


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