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Required Information & Signature
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Email
*
Your email
Minor Participant (Under 18) Information
Full Name
Your answer
Date of Birth
MM
/
DD
/
YYYY
Adult Information - Participant / Parent or Legal Guardian
First Name
*
Your answer
Last Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Cell Phone
*
Your answer
Company/Organization
Your answer
Electronic Signature
I warrant the truthfulness of the information provided in this Release of Liability, Waiver of Claims, Assumption of Risks & Indemnity Agreement.
Electronic Signature (Full Name)
*
Your answer
Electronic Consent
*
I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Release of Liability, Waiver of Claims, Assumption of Risks & Indemnity Agreement.
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I would like to receive additional Xfinity Birds of Prey event information by email.
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