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.

STEP 1:

STEP 2:

Fill your data into the downloaded waiver form and scan it or take a high-res picture

STEP 3:

Fill in the fields below and Click “Choose File” and select your scanned file or picture 

Release and Waiver of Liability

Upload the signed Release and Waiver of Liability: fill in the fields and attach your scanned file or picture of the Waiver Form
  • 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, jpeg.
    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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