Waiver Waiver Name* First Last I have read the Covid-19 notice.* YES Which Location Are You Visiting?*Wethersfield, CTEast Haven, CTHadley, MAName of Child/Minor #1 First Last Name of Child/Minor #2 First Last Name of Child/Minor #3 First Last Phone*Email* Planned Date of Visit* Date Format: MM slash DD slash YYYY Consent* I agree to the policies listed in this waiverBy checking this box, you agree you are the legal Parent or Guardian of the minors listed above (if minors were listed).
