Test Waiver Form

Name, address, phone number and email of adult participant, parent or guardian ( 18 years of age or older ) :

By providing your email address you authourize ESCAPE MAZE INCORPORATED to send you emails regarding our services; including a copy of this agreement.
First and last names and birthdays of all dependents participating:

Dependent # 1

Dependent # 2

Dependent # 3

Dependent # 4

Dependent # 5

Dependent # 6

By signing and submitting this legal document electronically, I confirm that the information I have provided to be true and I understand that providing false information is considered misrepresentation under the law.
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