Waiver Form

Operation Pay It Forward, LLC Acknowledgement, Waiver & Release from Liability Agreement

"*" indicates required fields

NOTICE: THIS DOCUMENT IS A LEGALLY BINDING AGREEMENT. BY SIGNING THIS AGREEMENT, YOU ARE ACKNOWLEDGING THAT YOU HAVE READ, UNDERSTOOD AND ACCEPTED THE TERMS AND CONDITIONS STATED IN THIS AGREEMENT. YOU FURTHER ACKNOWLEDGE AND AGREE THAT YOU ARE WAIVING YOUR RIGHTS TO SUE OR BRING A COURT ACTION TO RECOVER COMPENSATION OR OBTAIN ANY OTHER REMEDY FOR ANY INJURY TO YOURSELF OR YOUR PROPERTY.
Participant Name (Print)*
Parent / Guardian Name (Print) - If Participant is Younger Than 18
MM slash DD slash YYYY
Relationship to Participant
MM slash DD slash YYYY
If filled out, you will be sent a copy of the completed form.
Home Address
-By signing this document I agree to all terms and conditions outlined above.