Liability Waiver

SIgnature and acceptance of Waiver

Collins Ranch Company, Inc.

To be completed if Participant is a Minor

I represent that I am the parent or legal guardian of the individual(s) listed below (each a “Participant”) and I hereby consent to the Participant(s) accessing the Premises and/or engaging in Activities. I agree, personally and on behalf of each Participant, to be bound by the terms and conditions of this Agreement. I further agree to indemnify, hold harmless and defend all of the Protected Parties from and against any loss, damage, liability, claim, and expense, including costs and attorneys’ fees, incurred by any of the Protected Parties as a result of the Participant accessing the Premises and/or engaging in Activities.

Minor Participant (Name):

Date of Birth:

Minor Participant (Name):

Date of Birth:

Minor Participant (Name):

Date of Birth:

Parent or Legal Guardian Name:

Date:

Email of Parent/Guardian:*

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