EARTH DAY
2026
ELECTRONIC
ACTIVITY
WAIVER
EARTH DAY 2026
ELECTRONIC ACTIVITY WAIVER
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Your Name
*
First
Last
This form must be completed once per each individual.
If you are signing the waiver for your child/minor, please use your name and contact information.
Email Address
*
Phone Number
*
Address
Address Line 1
Address Line 2
City
Alabama
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Arizona
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Connecticut
Delaware
District of Columbia
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Virginia
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West Virginia
Wisconsin
Wyoming
State
Zip Code
Emergency contact
*
First
Last
Emergency contact phone number
*
Emergency contact relationship
*
Are you signing the Activity Release for your minor child?
*
No
Yes
Child/Minor Name
*
First
Last
Activity Release Accepted
*
I have read and understood the Activity Release, and am hereby signing it electronically.
If you are signing up for your minor child, this consent will apply to them as well
Activity Release Signature
*
Clear Signature
Your signature will be saved on CCF records with today's date and time stamp
Submit
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