Liability Waiver for Wilderness Defender Field Outings

  • (###)###-####
  • MM slash DD slash YYYY
  • I grant the New Mexico Wilderness Alliance the right to take photographs of me and my family in connection with the Activity, and to use and publish the photographs, with or without my name, for any lawful purpose, including in digital or print media.
  • *** The following section must be completed if you are a minor (under age 18). Your parent or legal guardian must sign this Agreement below on your behalf.***

  • Name of minor

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