(Q2 + Q3 2019) Assumption of Risk and Release of Liability Form (18 and older)

THE FUN EMPIRE

WAIVER AND RELEASE OF LIABILITY

You are required to read and complete this form before participating in any of our activities.

By submiting this form, you also acknowledge that you have read and agree to our Data Protection Policy.

Event ID

Group Pax

Activity Type*

Event Date *

Date

Time

:HourMinutesAM/PM Option

Event Location *

Full Name*

First NameLast Name

Date of Birth*

Date

NRIC / FIN / Passport Number (Last 3 digits + checksum. Example 123D)*

Email*

Event information will be mailed to your inbox.

Phone Number*

Form Submission Date

Date