Please Print This Form and Remit With Check To:

Blue Waters Recreation

P.O. Box 885

Faith NC, 28041

SEASON PASS APPLICATION 2008

Name:__________________________________

Mailing Address:_____________________________________

City: __________________  Phone: _________________  

Age: _________________________________ Sex: _________
 
 
Family Members Name Sex Age
       
       
       
       
       
       
       
 

 

 

  
 
 

Notice: By my signature, I acknowledge that management has made every effort to maintain maximum safety at the park. I understand that I assume risk of injury by participating in any activities. Therefore, I release the owners, operators, and any agent and/or employees  from any liability in the event of accident or injury. I further understand as a parent or custodian of any minor(s) that I shall be solely responsible for the minor(s) protection and care in accord with the release herein above.

 

____________                                              ______________________________________

        Date                                                               Signature of Applicant / Guardian