UAS requires a liability waiver for participants in our special programs, including birthday adventures, school programs, and family reunions. Complete the form and click submit. If you have questions, please email us.
    EMERGENCY CONTACT INFORMATION 
    Please provide a telephone number where we can reach you during the special program, in case of an emergency.      

    WAIVER OF LIABILITY AND AUTHORIZATION FOR MEDICAL TREATMENT

    I realize that no environment is risk-free despite a high degree of supervision, and I have discussed with my child the importance of abiding by all UAS rules on conduct and safety. I understand that there are certain unavoidable risks associated with participating in programs run by Urban Adventure Squad, LLC (henceforth known as "UAS"). I acknowledge these risks and agree to let my child participate in all UAS activities. 

    By typing my name below and clicking the "Submit" button, I hereby release UAS, its trustees, officers, directors, and agents, from all liability or claims, of whatever nature, arising from my child’s participation in UAS programs. I further agree to indemnify and hold harmless UAS, its officers, directors, and agents, from any damage, including attorney’s fees, that may result from participation in Urban Adventure Squad programs. 

     If my child becomes seriously ill or injured while participating in an Urban Adventure Squad program, I authorize UAS staff to call emergency medical services (911) as needed and/or take my child to a hospital, urgent care center, or physician for treatment. I accept responsibility for any necessary expenses incurred in the medical treatment of my child, including any expenses that are not covered by my health insurance policy. 

Proudly powered by Weebly