WAIVER | Wreck It

First name:

Last name:

I declare that I have read the entire WAIVER AND RELEASE OF LIABILITY and fully agree.

I singed this WAIVER AND RELEASE OF LIABILITY as a parent/guardian for the following participants under 18 years old.

List of participants under 18 years old:

Signature:

已選擇繪畫模式。請使用滑鼠或觸控板。如要使用鍵盤，請選擇「文字輸入」或「上傳」。

Signature Date: