Release and Waiver of Liability

PCA requires the sign-off of the Release and Waiver of Liability for every club event you attend.

Please download the form Release and Waiver of Liability, print, sign and date and then scan into a PDF or JPG file.

To upload your scanned Release please use the form below.

Release and Waiver of Liability

This form is used to allow ORPCA members to upload the signed Release and Waiver of Liability
  • Date Format: MM slash DD slash YYYY
  • Please enter your PCA Membership Number
    I confirm I have read and will confirm with the PCA Safety Guidelines
    I confirm I have read and will confirm with the ORPCA Safety Guidelines
  • Accepted file types: pdf, jpg.
    Please select a scanned PDF file of your signed and dated Release and Waiver of Liability. Alternatively a JPG picture of the whole page in high resolution.
  • This field is for validation purposes and should be left unchanged.
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