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Waiver Form
WaiverParticipant's (or guardians) Full Name
Participant's (or guardians) Email Address
Emergency Contact Number
Date
FOR PARENTS/GUARDIANS OF PARTICIPANT OF MINOR AGE (under age 18 at time of registration)
This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liability incidents to my minor child 's involvement or participation in these experiences provided at VR TERRITORY LLC’s VIRTUAL REALITY EXPERIENCE CENTERS , EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law.
Participant / Guardian Signature:
Participants:
I Agree To The Privacy Policy and Terms of Service
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