Please fill out the following fields.
The information entered will be used to create your Online Waiver for 1968 - The Tet Offensive on 4/29/2017
If you are a parent filling out a waiver for a minor (18 years or younger), please enter your information first, and then add click Add Minor to add them to the waiver.

Your First Name:			Email:
Your Last Name:			Phone:
Address:			Birth Date:	mm/dd/yyyy
City:			Emergency Contact:
State:			Emergency Phone:
Zip:

 

Minor FirstName	Minor LastName	Minors Birth Date
		mm/dd/yyyy	remove

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