Toy Purchase Liability Waiver Form
Please fill in this form to acknowledge liability waivers for toy purchase.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Child's Name
*
Child's Age
*
Toy Type/Model
*
Please Select
Building Blocks
Action Figures
Remote Control Car
Dolls
Puzzle
Other
Detailed Description of Toy
I acknowledge that toys can have small parts and I will supervise my child during play.
*
Option 1
Option 2
Option 3
Liability Waiver and Release Agreement
*
I agree to the terms and conditions above.
*
Option 1
Option 2
Option 3
Signature
*
Submit
Submit
Should be Empty: