Birthday Party Liability Waiver Form
Please complete this form to acknowledge and accept the liability waiver for participation in the birthday party event.
Participant's Full Name
*
First Name
Last Name
Date of Birth
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Parent/Guardian Full Name (if participant is a minor)
First Name
Last Name
Relationship to Participant
*
Please Select
Parent
Guardian
Self (Adult Participant)
Other
Contact Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name
First Name
Last Name
Emergency Contact Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Event Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Signature
*
Submit Waiver
Submit Waiver
Should be Empty: