Waiver Form

Waiver Form

Please fill out this form to confirm your participation and agreement.

Participant Information

Name

    Address

      Phone number

        Email

          Waiver

          I, the undersigned, hereby voluntarily agree to waive, release, and discharge any claims, rights, or liabilities from [Your Company Name], its affiliates, employees, and agents, in connection with my participation in Activity/Event/Service on Month Day, Year, which will last for Duration.

          I understand and accept the risks involved and assume full responsibility for my participation in this activity/event during the stated time frame.

          Name:

          Date:

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