Fun Slide Waiver Form

Cookie Monster on vacation

Before enjoying the Fun Slide, please review the agreement and complete the consent form.
CLICK HERE TO READ “WAIVER, RELEASE, HOLD HARMLESS, AND INDEMNIFICATION AGREEMENT”

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Location*

Name*

First Last

Email*

Phone*

Address 1*

City*

State **

Zip*

Date of Birth*

Drivers License #*

State Issued*

Medical Conditions

List any allergies or medical conditions. If none, please leave blank.

Agree to Waiver:*

I agree to Terms and Conditions of Waiver Agreement *

I have read and agree to the terms of the ‘Waiver, Release, Hold Harmless, and Indemnification Agreement.’

Electronic Signature Consent:*

I agree to the use of my electronic signature *

By checking this box, I consent to use my electronic signature as a binding equivalent of a handwritten signature.

Type Your Name for Signature **