6420 Gunpark DR, STE B
Boulder, CO | 80301

WAIVER

I HAVE READ THE RELEASE OF LIABILITY AND ASSUMPTIONS OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS AND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

CHILD'S INFORMATION

Birthday

*Must be at least 8yr Old.

Birthday

*Must be at least 18yr Old.

TERMS OF ACCEPTANCE and SIGNATURE

I, the [applicant, requestor, etc.] for this [type of form], warrant the truthfulness of the information provided in this application.

Electronic Signature
(Legal Guardian)

I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.

Today's Date

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