Washington County Release of Liability

Washington County requires the sign-off of the Release of Liability for participants of an Adopt-a-Road event.

Please download the form Release 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.

Washington County Release of Liability

This form is used to allow ORPCA members to upload the signed Release of Liability for Washington County Adopt-a-Road events
  • Date Format: MM slash DD slash YYYY
  • Please enter your PCA Membership Number
    I confirm I have read and will comply with the PCA Safety Guidelines
    I confirm I have read and will comply with the ORPCA Safety Guidelines
  • Drop files here or
    Accepted file types: jpg, jpeg, pdf.
    Please select a scanned PDF file of your signed and dated Release of Liability. Alternatively JPG or JPEG pictures of the whole page in high resolution are acceptable as well.
  • This field is for validation purposes and should be left unchanged.
Close
×
×

Cart