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WESCAPE Participant Waiver

First name

Last name

Date of birth

Year

Month

Day

Electronic signature (full legal name)*

I acknowledge that I have read, understood, and agree to the WESCAPE Participant Waiver and Release above.

Booking / order number*

Relationship to minor

Parent / legal guardian full legal name

Who is signing this waiver?

I am signing for myself (18+)

I am a minor signing with a parent / legal guardian

I am a parent / legal guardian signing for a minor

Phone number*

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