Blank Waiver Form

I, the undersigned, hereby acknowledge that I have voluntarily chosen to participate in ______________________ organized by [Your Company Name].

1. Assumption of Risk

I understand that _____________________________________________________________________.

2. Waiver of Liability

In consideration of being allowed to participate, I agree to waive, release, and discharge [Your Company Name] and its representatives from _______________________________________________________________________________________.

3. Medical Treatment

In the event of an emergency, I authorize _____________________________________________.

4. Acknowledgment

I have read this waiver form and understand its contents. I am aware that _______________________________________________________________________________________.

Participant's Name: [Your Name]

Participant's Signature: ________________________________

Date: _______________________________________________

Emergency Contact Name: _____________________________

Emergency Contact Phone Number: ______________________

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