Wayward Operator Console

Participant Information

Full Name *

Email Address *

Phone Number

Date of Birth *

Emergency Contact Information

Emergency Contact Name *

Emergency Contact Phone *

Relationship to Participant *

Digital Signature

Type your full legal name as your digital signature *

By typing your name above, you are providing a legally binding digital signature.

Legal Notice:

By signing this waiver, you acknowledge that you have read, understood, and agree to all terms and conditions. This digital signature has the same legal effect as a handwritten signature.

Jones Brothers Farm Tour Waiver

Participant Information

Emergency Contact Information

Digital Signature