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I, (the “Releasor”) HEREBY EXECUTE this Waiver and Release to the YEGPIN: 2023 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 July 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:

  1. I have read this Release thoroughly and I fully understand it. 
  2. I am voluntarily executing this Release, and would not otherwise be permitted to donate my asset. 
  3. 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. 
  4. I have been granted the opportunity to seek independent legal advice before executing this Release







First Participant's Name

First Name*

Last Name*

Phone*
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*
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*
Check to receive information, news, and discounts by e-mail.
Machine Names

Machine 1 (Year/Make/Model) Example: 2019 Stern Jurassic Park Premium *
Is machine for Sale / Trade? (A special placard will be affixed on machine)*
No
Yes

Machine 2
Is machine for Sale / Trade? (A special placard will be affixed on machine)*
No
Yes

Machine 3
Is machine for Sale / Trade? (A special placard will be affixed on machine)*
No
Yes

Machine 4
Is machine for Sale / Trade? (A special placard will be affixed on machine)*
No
Yes

Machine 5
Is machine for Sale / Trade? (A special placard will be affixed on machine)*
No
Yes

Machine 6
Is machine for Sale / Trade? (A special placard will be affixed on machine)*
No
Yes

Machine 7
Is machine for Sale / Trade? (A special placard will be affixed on machine)*
No
Yes

Machine 8
Is machine for Sale / Trade? (A special placard will be affixed on machine)*
No
Yes

Machine 9
Is machine for Sale / Trade? (A special placard will be affixed on machine)*
No
Yes

Machine 10
Is machine for Sale / Trade? (A special placard will be affixed on machine)*
No
Yes

Machine 11
Is machine for Sale / Trade? (A special placard will be affixed on machine)*
No
Yes

Machine 12
Is machine for Sale / Trade? (A special placard will be affixed on machine)*
No
Yes

Machine 13
Is machine for Sale / Trade? (A special placard will be affixed on machine)*
No
Yes

Machine 14
Is machine for Sale / Trade? (A special placard will be affixed on machine)*
No
Yes

Machine 15
Is machine for Sale / Trade? (A special placard will be affixed on machine)*
No
Yes

Machine 17
Is machine for Sale / Trade? (A special placard will be affixed on machine)*
No
Yes

Machine 18
Is machine for Sale / Trade? (A special placard will be affixed on machine)*
No
Yes

Machine 19
Is machine for Sale / Trade? (A special placard will be affixed on machine)*
No
Yes

Machine 20
Is machine for Sale / Trade? (A special placard will be affixed on machine)*
No
Yes

Machine 21
Is machine for Sale / Trade? (A special placard will be affixed on machine)*
No
Yes

Machine 22
Is machine for Sale / Trade? (A special placard will be affixed on machine)*
No
Yes

Machine 23
Is machine for Sale / Trade? (A special placard will be affixed on machine)*
No
Yes

Machine 24
Is machine for Sale / Trade? (A special placard will be affixed on machine)*
No
Yes

Machine 25
Is machine for Sale / Trade? (A special placard will be affixed on machine)*
No
Yes

Machine 26
Is machine for Sale / Trade? (A special placard will be affixed on machine)*
No
Yes

Machine 27
Is machine for Sale / Trade? (A special placard will be affixed on machine)*
No
Yes

Machine 28
Is machine for Sale / Trade? (A special placard will be affixed on machine)*
No
Yes

Machine 29
Is machine for Sale / Trade? (A special placard will be affixed on machine)*
No
Yes

Machine 30
Is machine for Sale / Trade? (A special placard will be affixed on machine)*
No
Yes
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*
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 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*
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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