Participant Consent

By submitting the form below, I warrant that I have read this Agreement carefully, understand its terms and conditions, acknowledge that I will be giving up substantial legal rights by submission of this form (including the rights of my spouse, children, parents, guardians, heirs and next of kin, and any legal and personal representatives, executors, administrators, successors and assigns), and intend for this form to serve as confirmation of my complete and unconditional acceptance of this Agreement.

If you have clicked 'Submit' below and the form is now empty, you have successfully completed the form.