Be sure to complete your smart waiver ahead of time!

I, (the “Releasor”) HEREBY EXECUTE this Waiver and Release to the YEGPIN: 2024 Pinball and Arcade Expo (the “Event”), Die Hard Pinball League and YEGPIN Executive Team (hereinafter collectively referred to as the “Releasee”).

1. NATURE OF ACTIVITY

I, the Releasor, wish to donate my arcade(s) or pinball machine(s) for the Event that takes place on June 20, 21, 22, 23, 2023 and acknowledges that I am the owner of the asset(s). The consideration I receive for this my Release is the opportunity to participate in the Event and to demonstrate any machines I may bring to the Event

2. WAIVER

I, the Releasor, hereby waive, release, and discharge the Releasee (who runs or operates this event) and his or her heirs, legal representatives, administrators, and executors for all liability for or by reason of any damage or loss to my property.

3. ACKNOWLEDGEMENT

I, The Releasor, hereby acknowledge the following:

I have read this Release thoroughly and I fully understand it.
I am voluntarily executing this Release, and would not otherwise be permitted to donate my asset.
This Release resists me from suing or otherwise claiming against the Releasee, presently or at any future time, for damage and loss that may occur to my property as a result of participating in this event.
I have been granted the opportunity to seek independent legal advice before executing this Release

Please select who will be participating...

Adult Minor(s)
1 Minor 2 Minors 3 Minors 4 Minors 5 Minors More Minors 6 Minors 7 Minors 8 Minors 9 Minors 10 Minors

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First Participant's Name

First Name*

Last Name*

Phone*

First Participant's Age Acknowledgment*

First Participant's Date of Birth*

I certify that I am 18 years of age or older

First Participant's Information

Address *

City, Province, Postal Code *

First Participant's Signature*

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Second Participant's Name

First Name*

Last Name*

Second Participant's Date of Birth*

Second Participant's Information

Address *

City, Province, Postal Code *

Third Participant's Name

First Name*

Last Name*

Third Participant's Date of Birth*

Third Participant's Information

Address *

City, Province, Postal Code *

Fourth Participant's Name

First Name*

Last Name*

Fourth Participant's Date of Birth*

Fourth Participant's Information

Address *

City, Province, Postal Code *

Fifth Participant's Name

First Name*

Last Name*

Fifth Participant's Date of Birth*

Fifth Participant's Information

Address *

City, Province, Postal Code *

Sixth Participant's Name

First Name*

Last Name*

Sixth Participant's Date of Birth*

Sixth Participant's Information

Address *

City, Province, Postal Code *

Seventh Participant's Name

First Name*

Last Name*

Seventh Participant's Date of Birth*

Seventh Participant's Information

Address *

City, Province, Postal Code *

Eighth Participant's Name

First Name*

Last Name*

Eighth Participant's Date of Birth*

Eighth Participant's Information

Address *

City, Province, Postal Code *

Ninth Participant's Name

First Name*

Last Name*

Ninth Participant's Date of Birth*

Ninth Participant's Information

Address *

City, Province, Postal Code *

Tenth Participant's Name

First Name*

Last Name*

Tenth Participant's Date of Birth*

Tenth Participant's Information

Address *

City, Province, Postal Code *

Parent or Guardian's Email Address

Email*

Confirm Email*

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Machine Delivery

Please select the method of delivery to and from the show. *Please note machines must be ready to be transported and on a main level of your residence of business. You must be present upon the pickup of your machine and if possible there to help with the loading of the machine. *

YEGPIN Tournament Bundle - Pre-Order Purchase Opportunity

By donating a machine you have the opportunity to purchase a YEGPIN Tournament Pass before they go on sale to the general public. Do you want to be added to the pre-purchase list for a YEGPIN Hardcore or Combo Tournament Pass, subject to availability (only 24 available in total, submissions up to January 6th, 2024)? *

Yes

Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.

By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.

Parent or Guardian's Name

First Name*

Last Name*

Phone*

Parent or Guardian's Age Acknowledgment*

Parent or Guardian's Date of Birth*

I certify that I am 18 years of age or older

Parent or Guardian's Information

Address *

City, Province, Postal Code *

Parent or Guardian's Signature*

Type Signature

Draw Signature

Click to Sign

Electronic Signature Consent*

By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.

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