I hereby warrant that I am a legally competent adult. I state further that I have read the above authorization, release, and agreement, prior to its execution, and that I am fully familiar with the contents of it. This release shall be binding upon me.
(If signing for someone under thirteen years old): I hereby warrant that I am a legally competent adult, and a parent or legally-appointed guardian of Child, and that I have every right to contract for Child in the above regard. I state further that I have read the above authorization, release, and agreement, prior to its execution, and that I am fully familiar with the contents of it. This release shall be binding upon Child and me.