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Whole Brain Escape - Waiver
410 Upchurch Street, Apex, NC 27502 (919) 355-2714
Release of Liability and Photo Consent Form *
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I understand while participating in this activity, I may be photographed by representatives of Whole Brain Escape for a team picture. I agree to allow my photo or video likeness to be posted on Whole Brain Escape's Facebook, Instagram, or other social media channels. *
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First Name *
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Last Name *
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Email Address *
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I am interested in receiving updates about Whole Brain Escape via the email address I listed above. *
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Date and Time of Reservation *
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Time
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Which room? *
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If minors under age of 18 are in your group, a parent or legal guardian must sign this waiver on their behalf. Please list their names and birthdates below:
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