I, the undersigned participant/host, 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, that I fully understand its content and that this release cannot be modified orally, I am aware that this is a release of liability and a contract and that I am signing it of my own free will.
Participant’s/Host’s Name: ______________________________________
Participant’s/Host’s Address: _____________________________________
In the event that the participant is under the age of consent (18 years of age), then this release must be signed by a parent or guardian, as follows:
I hereby certify that I am the parent or guardian of ___________________________ named above, and do hereby give my consent without reservation to the foregoing on behalf of this individual.
Parent / Guardian Name:__________________________________________
Relationship to Minor: _________________________________
Signature: _______________________________________ Date: _____________
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