Disclaimer Letter

Please read the disclaimer letter carefully before signing. This document has legal consequences and will affect your legal rights and will limit or eliminate your ability to bring future legal actions.

"*" indicates required fields

GENERAL INFORMATION

Name*
MM slash DD slash YYYY
Address*
Drop files here or
Accepted file types: jpg, gif, png, pdf, jpeg, bmp, Max. file size: 2 GB.
    Note: when you finish uploading the file, a circle with a cross appears in red, this means that it was uploaded correctly.

    EMERGENCY CONTACT

    Name*

    MEDICAL INFORMATION

    INSURANCE OF MEDICAL EXPENSES

    Name
    EVENT WAIVER HIRAM SERVICES & SOLUTIONS, S. DE R.L. DE C.V. REGISTRATION, RELEASE AND WAIVER OF LIABILITY.*