MidsouthMakers RFID Management

Sign Individual Waiver

Between (your first and last name) and Midsouth Makers, NFP, 2804 Bartlett Rd. Suite 3, Memphis, TN 38134. By signing this agreement I acknowledge that Midsouth Makers is a dangerous place and I agree to HOLD HARMLESS Midsouth Makers, NFP, its members, its officers, and its directors.

Initials:

I also understand that I am personally responsible for my safety and actions and that I will follow all safety instructions and signage while at Midsouth Makers.

Initials:

I affirm that I am 18 years of age or older and mentally competent to sign this liability release.

Initials:

Name

Address

Phone number

Date of Birth (format: YYYY/MM/DD)

Emergency Contact Name

Contact Phone Number