Dove Nation Waiver | California Ninja

PART A — California Ninja Assumption of Risk, Waiver of Liability & Indemnity Agreement

READ CAREFULLY – THIS AFFECTS YOUR LEGAL RIGHTS

This Agreement applies to participation in any activities at California Ninja, LLC (“California Ninja”), including its physical facilities and mobile/temporary obstacle course equipment or events.

Participant Information (Adult or Parent/Legal Guardian)

First Name

Last Name

Date of Birth

Month

Day

Year

Phone

# of Minors included on waiver

Minor 1 (Under 18)

Minor's First/Last Name

Minor's D.O.B.

Relationship to Minor

Minor 2 (Under 18)

Minor's First/Last Name

Minor's D.O.B.

Relationship to Minor

Minor 3 (Under 18)

Minor's First/Last Name

Minor's D.O.B.

Relationship to Minor

Minor 4 (Under 18)

Minor's First/Last Name

Minor's D.O.B.

Relationship to Minor

Today's Date

Signature

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