Central Escapes Minor Waiver


MINOR'S RELEASE WAIVER

For all participants under eighteen (18) years of age a parent or legal guardian must sign the following acknowledgment.

The undersigned [Parent/Guardian] represents that he or she is the parent or legal guardian of [Minor Participant] and hereby acknowledges that he or she has executed the foregoing release and waiver agreement on behalf of the minor participant and agrees to bind himself or herself and the minor to the terms of the release and waiver agreement. The undersigned authorizes any licensed physician, emergency medical technician, or other trained medical professional to treat injuries to the minor participant.

WHEN REGISTERING ONLINE, THE ONLINE SIGNATURE SHALL SUBSTITUTE FOR AND HAVE THE SAME LEGAL EFFECT AS IF THE SIGNATORY HAD SIGNED A PHYSICAL COPY OF THE WAIVER AND RELEASE AGREEMENT.

PARTICIPATION WILL BE DENIED IF THE DATED SIGNATURE OF AN ADULT PARTICIPANT OR PARENT IS NOT RECEIVED AT THE TIME AND PLACE OF THE SCHEDULED ACTIVITIES.

Electronic Signature and Acknowledgement
Enter the date and your full name to acknowledge your electronic signature of this document.
Your Electronic Signature*