Please fill out the CBSS Site Regulations & Release of Liability and attach images of your CORSAR and USHPA cards. You will be prompted to fill the USHPA waiver after you complete this one.
* Required fields
First & Last Name *
Email *
Your USHPA # and Exp. Date *
Emergency Contact Name / Relation *
Emergency Contact Phone Number *
Your CORSAR Card (image) *
Your USHPA Card (image) *
Note: You can only attach images, no pdfs.
Please Sign Below *
Once completed, please fill out the USHPA Waiver form.