Waiver

What type of flyer are you?

Date of birth

Participant's date of birth

Contact Details

Please provide correct information as this will help us match an account if applicable

Information of the legal representative

Invalid email address
Email is needed to receive the link for the media package

Flyer's Information

Invalid email address
Email is needed to receive the link for the media package

Signature

Signature

*If you are under 18, your parent/guardian needs to sign here.


Confirmation

Confirmation

Booking or gift voucher number

Information of the legal representative

E-mail address
Lastname
Firstname
Phone number

Flyer's Information

E-mail address
Lastname
Firstname
Date of birth
Address
Phone number
E-mail address
Lastname
Firstname
Date of birth
Phone number

Other participants




I accept the release of liability, assumption of risk, indemnity and publicity agreement as set out and accept terms, conditions and privacy policy.

Date of birth

Other participants

Date of birth

Lastname
Firstname
Date of birth