Glamorous Event Waiver Form
Please complete this form to acknowledge and accept the terms of participation for the glamorous event.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Birth
*
-
Month
-
Day
Year
Date
Event Name
*
Event Date
*
-
Month
-
Day
Year
Date
Emergency Contact Name
*
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Please list any allergies or special medical conditions
Do you consent to being photographed or filmed during the event?
*
Yes, I consent
No, I do not consent
Signature (please sign below to acknowledge and accept the waiver)
*
Submit Waiver
Submit Waiver
Should be Empty: