Freelance Designer Insurance Waiver Form
Please complete this form to acknowledge and accept the insurance waiver related to your freelance design work.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Business/Studio Name
Project Name or Description
*
Project Start Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Project End Date (if known)
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Additional Comments (optional)
Signature
*
Submit
Submit
Should be Empty: