By signing below, you acknowledge to the terms outlined in this document.
One-Time Use
Ongoing Use
Until Revoked
I voluntarily consent to participate in the activity, service, or use of materials as described above. I understand and acknowledge any risks involved and assume full responsibility. I release and discharge the company and its affiliates from any claims, liabilities, or damages arising from my participation.
Name:
Date:
We appreciate you taking the time to submit.
Create free forms at Template.net
Templates
Templates