Business Contact *

First Name

Last Name

Business Phone *

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Business Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Terms and Conditions *

I and my party acknowledge and understand that participation in Splash the Stigma involves inherent risks, including but not limited to property damage, injury, and death. I and my party hereby release The Beacon, its employees, officers, and agents, from any and all liability for any injuries, losses, or damages I may sustain while participating in this activity, regardless of whether such injuries or damages are caused by my own negligence, or the negligence or misconduct of The Beacon or any other party.