Sapphire & Onyx Waiver Form
Please complete this waiver to participate in the event. Review each section carefully and provide your consent as required.
Event Information
Event Name
*
Event Date
*
-
Month
-
Day
Year
Date
Participant Information
Legal Name (First and Last)
*
First Name
Last Name
Preferred Name (if any)
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Are you 21 years of age or older?
*
Yes
No
The events are only safe sex protected with condoms. It is important to use condoms consistently and correctly to reduce the risks of sexually transmitted diseases.
Photo/Video and Social Media Consent
*
I consent to the use of my image or likeness in photos or videos for event-related purposes, including social media.
I do NOT consent to the use of my image or likeness in any photos or videos.
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name
*
Date Signed
*
-
Month
-
Day
Year
Date
Disclaimer: This waiver is provided for informational purposes only and does not constitute legal advice. Participants should consult their own attorney if they have questions about their rights or obligations.
STD Awareness and Testing
Recent STI/STD testing is required to attend this lifestyle event. You will be asked to provide proof of testing.All guests are responsible for honest disclosure of their sexual health status. If you know you have an STI/STD, have symptoms, or have not been recently tested, do not attend.Failure to disclose or follow this policy may result in removal from the event. Providing falsified test results or knowingly withholding your status will result in an immediate ban and disclosure to other guests and event hosts.
Participant STD Status Disclosure
*
Negative
Positive
Prefer not to disclose
Date of Last STD Test
-
Month
-
Day
Year
Date
Social Information
Fet life name
' Release of Liability - Participant Responsibility
Participant Signature
*
Submit Waiver
Submit Waiver
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