Indemnity Waiver Form
Please fill out the following form to acknowledge and accept any potential risks involved and release liability.
Full Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Activity/Event Name
PLEASE ENSURE TO WEAR ONLY CLOSED TOE SHOES FOR AND DURING THIS SHOWING!
Acknowledgement
*
I acknowledge that I have read and understand the risks involved in the activity/event.
I understand that participation in the activity/showing is voluntary.
I release the organization from any liability for injuries or damages that may occur during the activity/showing.
I agree to abide by all rules and instructions provided by the organization.
Signature
*
Submit
Should be Empty: