PLAYER PARTICIPATION CONSENT AND VOLUNTARY RELEASE OF LIABILITY OF BUBBLE SMASH, LLC

Waiver

Paragraph Text

Participant Information

Participant's Full Name

Event Date

Participant's Email Address

Emergency Contact

Emergency Contact Name

Relationship

Phone Number

Email Address

Are you 18 years or older

Yes

No

Parent or Guardian Information

Parent/Guardian Full Name

Relationship

Date

Email Address

Agreement

In the event that the participant is under the age of eighteen (18) years of age, then a parent or guardian must sign this Release as follows: I hereby certify that I am the parent or guardian of the Participant identified above, and I do hereby give my consent without reservation to the foregoing Player Participation Consent and Voluntary Release of Liability of Bubble Smash, LLC on behalf of this individual participant. It is my intention that the terms of this document be effective to this individual participant as if the participant were an adult, rather than a minor.

Signature

Date

Signature

Agreement

I, the undersigned participant, affirm that I am of the age of 18 years or older, and that I am freely signing this agreement. I certify that I have read this agreement, and that I fully understand its content. I am aware that this is a release of liability and a contract and that I am signing it of my own free will.

Signature

Date