Release of Liability

Emergency Contact(Required)

First Last

Relationship(Required)

Phone(Required)

Release Contact Name(Required)

First Last

Relationship(Required)

Phone(Required)

Sign

Client's Name(Required)

First Last

Authorized to Sign on Client’s Behalf(Required)

I am the Client

I have the client’s permission to accept the Release of Liability for this booking.

By checking this box, I confirm the client has given me authorization to submit this form and that this consent serves as the client’s signature for all terms, policies, and the Release of Liability.

Client's Signature(Required)