Kayaking at Kent Park with Johnson County Conservation

Participant Waiver of Responsibility Form – Kayaking

Name of Participant(Required)

First Last

Participant Signature(Required)

Date signed(Required)

Name of Parent / Legal Guardian

First Last

Phone number where parent / legal guardian can be reached during this event

Signature of Parent / Legal Guardian

Date signed

Phone

This field is for validation purposes and should be left unchanged.

1401 5th Street, Coralville, IA 52241
Phone: (319) 248-1850
Fax: (319) 248-1890
Email: reference@coralville.org

Monday – Thursday
10:00am – 7:00pm

Friday
10:00am – 6:00pm

Saturday
10:00am – 4:00pm

Sunday
12:00pm – 4:00pm